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Enrolment

Little Joey’s Pre-School

ABN 15153292338          Approval: CSSC1001787

 

    Child’s Surname:
    Child’s Given Names:
    Sex: MaleFemale
    Start Date:
    Child’s date of birth:
    Place of birth:
    Child resides with:
    Ethnicity:
    Languages spoken:
    Proposed Commencement date:

    Are there any court orders affecting your child?: YesNo

    (photo copies must be provided and all staff must be made aware of the circumstances)

    Booking details:

    TIMES MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY

    A $50.00 non-refundable administration fee is payable to secure a position.

    2 weeks notice must be given in writing if you wish to close your child’s enrolment.

    Your child’s account must be paid in full on or before their final day of attendance.

    Child Care Benefit And family Information:

    Have you been assessed for the Child Care Subsidy (CCS) with Centrelink? YESNO

    Do you have other children attending approved child care services/family day care or outside school hours care programs and thus wish to claim the increased child care percentage?YESNO

    Which parent is registered to claim Child Care Benefit?
    Family CRN: Child CRN:
    Parent / Guardian 1 Parent / Guardian 2
    Surname
    Given Names
    Date of Birth
    Relationship to Child
    Home Address
    Occupation
    Home phone
    Work phone
    Mobile phone
    Email contact

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