3 year old Enrolment Application for 2022

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Complete this enrolment application form and send a copy of the child’s birth certificate or suitable evidence of the child’s birth date AND Proof of Immunisation to tecomaenrolments@gmail.com

Please ensure your email address remains up-to-date and that you check your email regularly, as this is how we will contact you with your enrolment offer and any other information.

Please notify the service of any changes to your address or other relevant information by contacting  9754 5392. 

Email *

Child’s Family Name: *

Child’s Given Names: *

Child’s Date Of Birth: *

YYYY

Gender:

Female

Male

Prefer not to say

Other:

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Parents’ or Guardians’ Names: *

Mobile Phone No: *

Second phone number (if applicable)

Address: *

Year of attendance of siblings (if applicable):

Languages Spoken at Home: *

Does your child have additional needs, dietary restrictions, allergies etc.?

Yes

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If yes , please specify:

You are encouraged to discuss your child’s needs with the educator when your child’s place is confirmed. Is your child registered with a specific support service/agency?

Yes

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Name of support service/agency:

Digital Signature of Parent/Guardian: *

A copy of your responses will be emailed to the address you provided.

Submit

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