Contact

Parent/guardian name*

Child's date of birth*

Preferred start date*

What days and times work best for a center tour?*

Any additional information you would like to provide?*

Parent/guardian name*

Child's date of birth*

Preferred start date*

What days and times work best for a center tour?*

Any additional information you would like to provide?*

Languages spoken at home:*

Known disabilities, diagnosis, allergies or illnesses:*

Child Care Requirements

No. Of Days Required:

Parent/Guardian Information

Title / First name:*

Are you any of the following:

Additional Information

It is your responsibility to notify us of any changes to the information supplied. Some changes to circumstances may affect your chances of being offered a placement within our centre. By filling out this form, your child’s name will go on the Waiting List. You will be contacted when a suitable position becomes available. This form does not guarantee that you will be offered a position.

Declaration

The information I have supplied within this form is to the best of my knowledge, true and correct and I will inform the centre if any changes occur.

Signature*

Please use a mouse or stylus to sign name

We invite you and your family to begin the enrolment process at Thornton Child Care and Preschool Centre.

Call us on 02 4966 5975 to schedule a tour today!

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