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If you would like further information on enrolment, please fill out the form provided.

Please note: By filling out this form your child’s name goes on to a waiting list. There is no guarantee of placement in the centre.

Enrolment Form

Child's Full Name

Date of Birth



Is the child Aboriginal or Torres Strait Islander


Number of care days required

When would you like care to commence

Preferred Days


Parent's Full Name

Relationship to Child


Contact Phone Number:

Email Address

When is the best time to contact you?

Additional enrolment information

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