Home
Our Centre
Our Rooms
Babies Room
Toddler Room
Kindy Room
FAQs
Gallery
Fees & Enrolment
Calculate My Subsidy
News & Events
About Us
Why Choose Us?
Contact Us
General Enquiries
Report Absences
Join the Waitlist
Call us on (08) 7123 2717
Home
Our Centre
Our Rooms
Babies Room
Toddler Room
Kindy Room
FAQs
Gallery
Fees & Enrolment
Calculate My Subsidy
News & Events
About Us
Why Choose Us?
Contact Us
General Enquiries
Report Absences
Join the Waitlist
Register Your Interest
MENU
Home
Our Centre
Our Rooms
Babies Room
Toddler Room
Kindy Room
FAQs
Gallery
Fees & Enrolment
Calculate My Subsidy
News & Events
About Us
Why Choose Us?
Contact Us
General Enquiries
Report Absences
Join the Waitlist
Join the Waitlist…
Register Your Interest
Home
>
Join the Waitlist…
"
*
" indicates required fields
Child Details
Name & Age of your Child / Children
*
Please enter each child's name, gender, and date of birth OR
expected
date of birth
Given Name
Surname
Date of Birth (DD/MM/YYYY)
Gender
Add
Remove
Residential Address
*
Street Address
Address Line 2
Town / Suburb
State
Postcode
Preferred Attendance
Days Required
*
Monday
Tuesday
Wednesday
Thursday
Friday
Are These Days Flexible?
*
Yes
No
Date of Preferred Commencement
*
DD slash MM slash YYYY
Parent / Guardian Details
Parent / Guardian 1 Full Name
*
First
Last
Relationship to Child
*
Home Phone
Mobile Phone
*
Work Phone
Email
*
Parent / Guardian 2 Full Name
First
Last
Relationship to Child
Home Phone
Mobile Phone
Work Phone
Email
Priority of Access
It is necessary to determine your priority of access based on the Department of Family and Community Services guidelines. You are requested to provide the following information. Please tick the box or boxes that best describe your situation.
Situation
Child is at risk of abuse or neglect
Parent / Guardian working full time
Parent / Guardian working part time
Parent / Guardian studying or training
Parent / Guardian seeking employment
Single Parent / Guardian
Child has additional needs
Specify Additional Needs
*
