Given Name (required)
Date of Birth (required)
Previous or current Kindergarten/Early Learning Centre attending
Which level is this child starting at our Early Learning Centre? (required)
0-3 Years3-4 Years4-5 Years
Preferred Start Date
What days would your child attend (required)
Has your child had any outside agency support? (eg. WAYSS, Red Cross, DHHS, Child First
Phone number (required)
Email Address (required)
Person completing this form (required)
ParentLegal GuardianExternal Service
Is an interpreter required?
Please note: This is not an enrolment form. All other information including the enrolment form and transition dates will be sent at a later date.