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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Email *
Which Advanced ELC does your child attend?
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Child 1 *
Date of Birth *
MM
/
DD
/
YYYY
Room Name @ Advanced ELC
Child 2 (if applicable)
Date of Birth
MM
/
DD
/
YYYY
Room Name @ Advanced ELC
Child 3 (if applicable)
Date of Birth
MM
/
DD
/
YYYY
Room Name @ Advanced ELC
Parent/ Guardian (First Name & Surname) *
Parent/ Guardian Mobile Number *
Postal Address (No. and Street name) *
Suburb *
Postcode *
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