Waitlist - Kirinari
Please contact Kirinari every 3 months to remain on the waitlist. 
02 6201 2339 
or
office@kirinari.org

Please submit one form per child. 
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Email *
First name of registering parent *
Surname of registering parent *
Registering parent's date of birth. *
MM
/
DD
/
YYYY
Home address
House number, Street, Suburb, Postcode
*
Mobile phone number *
For priority of access requirements please indicate whether you can be identified as any of the following:
Priority is given in the order below.
*
Required
Child's first name.
"Baby" can be used if no name yet. 
*
Child's surname. *
Child's date of birth or due date. *
MM
/
DD
/
YYYY
Date care is required from: *
Days of care required:
How did you find out about Kirinari *
Required
Would you like a tour of the centre? Please suggest a day/time that would suit you. 
A copy of your responses will be emailed to the address you provided.
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