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Waitlist Registration Form
Registration entitles entry to waitlist. Please submit this form and make payment of the $60 non-refundable registration fee via a bank transfer to:
Childrens Garden Kindercare
Bsb: 083 004
Acc: 869379387
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* Indicates required question
Child's Given Name
*
Your answer
Child's Last Name
*
Your answer
Child's sex
*
Male
Female
Other
Other:
Parent(s) Name(s) and last name(s):
*
Your answer
Parent 1 Mobile Number
*
Your answer
Parent 2 Mobile Number
Your answer
Parent(s) email address (separate addresses with a comma)
*
Your answer
Child's Date of Birth
*
MM
/
DD
/
YYYY
Home Address
Your answer
Siblings Names/Ages
Your answer
Where did you hear about us? If referred by someone, please let us know :)
Your answer
Preferred Start Date
*
MM
/
DD
/
YYYY
Tick box for the program(s) you are interested in:
Ring-o-Rosie 1-2 yrs
Spring Star 2-3 yrs
Kindergarten 3-5 yrs
Saturday Playgroup (children aged 6m to 2yrs)
Tick boxes for the days of the week you are interested in (Minimum 3 days for Childcare and Kindergarten):
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday Playgroup (9:30am to 11:30am)
Flexible (any 3 days)
Have you visited the centre for a tour yet?
No
Yes
Clear selection
Are you familiar with Steiner Education? How?
Your answer
Would you like to be included in our mailing list with invitations to our workshops, courses, events and articles?
Yes
No
Clear selection
Comments:
Your answer
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