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Kingscliff Mini School - Waiting List Application
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* Indicates required question
Email
*
Your email
Child's First Name
*
Your answer
Child's Surname
*
Your answer
Child's Gender
Female
Male
Child's Date of Birth
*
MM
/
DD
/
YYYY
Street Address
*
Your answer
Suburb
*
Kingscliff
Casuarina
Chinderah
Fingal Head
Duranbah
Cudgen
Other:
Required
State
*
Choose
NSW
QLD
SA
VIC
WA
NT
TAS
Post Code
*
2489
2487
2488
2486
Other:
Required
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