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