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Registration Form
We require the following details to be completed by a Parent/Guardian.
We may use this information from time to time and email, text message or call you with any updates regarding your Child's program or with any outstanding requirements.
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* Indicates required question
Email
*
Your email
Which Advanced ELC does your child attend?
30 Walker Street MERRYLANDS
368 Merrylands Rd MERRYLANDS
54 Bridge Rd WESTMEAD
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Child 1
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Room Name @ Advanced ELC
Your answer
Child 2 (if applicable)
Your answer
Date of Birth
MM
/
DD
/
YYYY
Room Name @ Advanced ELC
Your answer
Child 3 (if applicable)
Your answer
Date of Birth
MM
/
DD
/
YYYY
Room Name @ Advanced ELC
Your answer
Parent/ Guardian (First Name & Surname)
*
Your answer
Parent/ Guardian Mobile Number
*
Your answer
Postal Address (No. and Street name)
*
Your answer
Suburb
*
Your answer
Postcode
*
Your answer
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