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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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