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Expression of Enrolment Interest Form.
Highton Child Care & Development Centre Pty. Ltd.
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* Indicates required question
Child's Name:
*
Your answer
Child's Date of Birth:
*
MM
/
DD
/
YYYY
Days of Care Requested:
Monday
Tuesday
Wednesday
Thursday
Friday
Unsure of Days Required
Desired Start Date:
*
Your answer
Has your child been in care before?
*
Yes
No
Parent / Guardian's Name(s) and Relationship to Child:
*
Your answer
Parent / Guardian's Contact Number:
*
Your answer
Parent / Guardian's Email Address:
*
Your answer
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