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0-3 Program at Broome North
Thanks for showing your interest in our 0-3 Program for 2021
To help us plan to deliver the program effectively, please answer the following questions.
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Parent name
*
Your answer
Phone number
*
Your answer
Email address
Your answer
Child details
Child name
*
Your answer
Child date of birth
*
MM
/
DD
/
YYYY
Child gender
*
Male
Female
Is the child Aboriginal or Torres Strait Islander?
*
Yes
No
Days and times
The program will run on Thursdays and Fridays between 8 and 11am.
If demand is high, families will be allocated to one of the two days.
If demand is low/medium, families will have the opportunity to attend both days if they'd like.
If demand is high, which day would you prefer to attend?
*
Thursday only, 8 to 11am
Friday only, 8 to 11am
If demand is low/medium, which option best describes your preference?
*
Both days
Just Thursday
Just Friday
Any extra children?
Do you have more than 1 child who is 0-3 and would attend the program?
Yes
No
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