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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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