Disclaimer
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Our Philosophy
Education Program
The Star Fish room
The Turtle Room
The Rainbow Fish Room
The Seashells Room
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Events Calendar
Contact Us
Waitlist Form
Child’s First Name *
Child’s Family Name
Date of Application
Male/Female
Please Choose
Male
Female
Birth Date
Age Now
Parent’s First Name
Parent’s Family Name
Home Ph
Mob
Work Ph
Email *
Address
Parent’s First Name
Parent’s Family Name
Home Ph
Mob
Work Ph
Email *
Address
Employment/Study/Situation
Mother/Guardian
F/T
P/T
Seeking
Home Duties
Father/Guardian
F/T
P/T
Seeking
Home Duties
Hours Worked
Mother
am
to
pm
Father
am
to
pm
Days required for Childcare:
(Note: it is recommended that enrolments be a minimum of 2 consecutive days for reasons of settling your child and best practice). Please select your preference from combinations:
Prefered Days
Hours required for childcare:
From
To
Date Childcare is required:
Do you have a child already in care at Wyong Little Learners?
Is there any other information you would like us to know regarding your application?
I agree to contact the centre should any of my information change above or if I wish to be taken off the waitlist.
Signature of Parent:
Date:
Centre Director:
Contacted: