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Norwood Waiting List Form
*Your child's name can be put on the Waiting List after their second birthday but there can be no guarantee that a position will be available when required*.
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* Indicates required question
Email
*
Your email
Child's first name and last name:
*
Your answer
Child's Date of Birth
*
MM
/
DD
/
YYYY
Child's sex (eg female)
*
Your answer
Address
*
Your answer
Suburb and Post Code
*
Your answer
Contact phone number
*
Your answer
Contact email
*
Your answer
Parent(s) name(s)
*
Your answer
When would you like your child to commence preschool?
*
MM
/
DD
/
YYYY
Which days would you like your child to attend?
*
Monday and Tuesday
Thursday and Friday
Additional Wednesday
Required
Does your family have a 'low income' Health Care Card?
*
Yes
No
Do you need an interpreter for Orientation to preschool?
*
Yes
No
Language(s) your child speaks at home?
*
Your answer
Does your child require assistance with English?
*
Yes
No
Do you or your child have Aboriginal or Torres Strait Islander background?
*
Yes
No
Does your child have a medical condition eg Asthma/Allergies?
*
Yes (if 'yes' an Action Plan is required)
No
Does your child have a disability or additional needs? Yes/No (attach reports and NDIS Plan)
*
Yes (please provide developmental assessments/NDIS Plan
No
The name of any other early childhood service your child will attend whilst at Norwood
*
Your answer
A copy of your responses will be emailed to the address you provided.
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