Enrol

We will endeavour to place your child for the days/times you request, subject to availability.  By completing this form, the Centre is not automatically accepting that your child has a place.  We will contact you and indicate the timeframe for your child to start.

The name your child is known as:
First name:
Last name:
Street address:
Suburb:
City:
Postcode:
Date of birth:
Parents/Guardians
Parent 1 First name:
Parent 1 Last name:
Parent 1 Relationship:
Parent 1 Street address:
Parent 1 Suburb:
Parent 1 City:
Parent 1 Post code:
Parent 1 Telephone:
Email Address *:
Parent 1 Cellphone:
Parent 2 First name:
Parent 2 Last name:
Parent 2 Relationship:
Parent 2 Street address:
Parent 2 Suburb:
Parent 2 City:
Parent 2 Telephone:
Parent 2 Cellphone:
Date and times of enrolment
Monday: 8-3
  8-5
Tuesday: 8-3
  8-5
Wednesday: 8-3
  8-5
Thursday: 8-3
  8-5
Friday: 8-3
  8-5
Date to commence at centre (dd/mm/yy):
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