Care Agreement Request

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Dear Educator,

To enable us to prepare the care agreement for your family we will need to collect the following information.

Once the care agreement has been prepared it will be sent directly to the family for signing. When the family have signed the agreement it will automatically be forwarded on to you for signing.

Once we receive the signed document, we will sign it and all parties will receive a fully signed copy of the document.

Please note: This does not mean the enrolment is complete. The office will contact you to confirm when the enrolment is complete and care can commence.

Please ensure that you have double checked spelling before you submit, enabling us to successfully prepare the care agreement.

Today's Date *

YYYY

Proposed Care Start Date *

YYYY

Educators Full Name *

Parent/Guardian's Full Name (Please double check spelling) *

Parent/Guardian's Phone Number *

Parent/Guardian's Email (Please double check spelling)
*

Child's Full Name *

Child's D.O.B *

School Aged Child? *

Yes

Booking Type *

Permanent

Casual

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