Enrolment Application Form

Once you have submitted this form, we will be in touch to discuss next steps with regards to your child’s enrolment.

If you wish to remove your child from the waiting list or your contact details change please get in touch.

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Child's Name

First Name

Last Name

Child's middle name

(if any)

Date of Birth

YYYY

Child's Gender

Boy

Girl

Parent 1

First Name

Last Name

Parent 2

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Home phone number

(###)

###

####

Mobile phone number

(###)

###

####

Email Address

When would you prefer your child to start?

(Any date from your selection)

YYYY

Is your child currently attending any other early childhood centre?

(If yes, please specify which centre)

Child's Ethnicity & official language

Any known allergies?

How did you find out about our Preschool?

Website

Word of mouth

Google search

Facebook

Local advertising

Organisations we work with: