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    Guardian’s Details

    Select Your Desired Centre*

    Guardian’s Details

    Child's Details

    Number of Children:*

    Child 1

    Child 1 Date Of Birth:*

    Child Requested Days of Care:*





    Expected Start Date*


    Child 2

    Child 2 Date Of Birth:*

    Child 2 Requested Days of Care:*





    Expected Start Date*


    Child 3

    Child 3 Date Of Birth:*

    Child 3 Requested Days of Care:*





    Expected Start Date*


    Child 4

    Child 4 First Name:*

    Child 4 Last Name:*

    Child 4 Date Of Birth:*

    Child 4 Requested Days of Care:*





    Expected Start Date*

    Does your child identify as any of the following?

    Are you wanting to enrol in Kindergarten?

    Are you flexible on days?*

    Additional Comments

    Please let us know if you have any additional questions or comments. eg. days of care required, start date, additional children information.

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