Enrolment


Parent 1

First Name (required)

Last Name (required)

Address (required)

Home Phone (required)

Mobile Phone (required)

Work Phone (required)

Email (required)

Ethnicity (required)

Work/Study Details (required)

Parent 2

First Name

Last Name

Address

Home Phone

Mobile Phone

Work Phone

Email

Ethnicity

Work/Study Details




Child 1

First Name (required)

Date of Birth (required)

Male / Female (required)

Languages spoken (required)

Days Required

2 Days :

3 Days :

4 Days :

5 Days :

I am flexible with days :

Number of days required :

Does your child have any additional needs :

Please specify:

Child 2

First Name

Date of Birth

Male / Female (required)

Languages spoken

Days Required

2 Days :

3 Days :

4 Days :

5 Days :

I am flexible with days :

Number of days required :

Does your child have any additional needs :

Please specify:

Child 3

First Name

Date of Birth

Male / Female (required)

Languages spoken

Days Required

2 Days :

3 Days :

4 Days :

5 Days :

I am flexible with days :

Number of days required :

Does your child have any additional needs :

Please specify:




Additional Information

Centre

Hours of Care Required
am until pm

When would you like to commence at the kindergarten?

How did you hear about us?

Do you require translation of centre information in another language other than english?

Please specify:

Additional comments

Little Troopers Childcare Ashbury
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