Please complete the enrolment form below to enrol your child in our before school or after school care programmes.
Childs Name (required)
MaleFemale (required)
Address (required):
City (required)
Post Code
Child's Birth Date (required) Childs Age (required)
School (required)
Room
Medical Allergies/Conditions
Special Diet
Doctors Name
Doctors Phone Number
Ethnicity (Optional)
Are there any matters of a cultural nature that you would like us to consider when programme planning?
Please Note: You are charged for days and hours booked (this includes casual or rostered bookings) regardless of early collections or absences. This also includes Public Holidays. 1 week’s cancellation notice is required.
Care Required: Permanent Space @ $6.15 per hour Casual Space @ $7.00 per hour Rostered Space @ $6.15 per hour
Monday Monday Before School 7am-8:30amMonday Before School 7:30am-8:30am Monday After School 3pm-4pmMonday After School 3pm-5pmMonday After School 3pm-6pm
Tuesday Tuesday Before School 7am-8:30amTuesday Before School 7:30am-8:30am Tuesday After School 3pm-4pmTuesday After School 3pm-5pmTuesday After School 3pm-6pm
Wednesday Wednesday Before School 7am-8:30amWednesday Before School 7:30am-8:30am Wednesday After School 3pm-4pmWednesday After School 3pm-5pmWednesday After School 3pm-6pm
Thursday Thursday Before School 7am-8:30amThursday Before School 7:30am-8:30am Thursday After School 3pm-4pmThursday After School 3pm-5pmThursday After School 3pm-6pm
Friday Friday Before School 7am-8:30amFriday Before School 7:30am-8:30am Friday After School 3pm-4pmFriday After School 3pm-5pmFriday After School 3pm-6pm
Full Name (required)
Relationship to child (required)
Occupation
Address (if different from the Child's)
City
Home Phone Number (required):
Work Phone Number:
Mobile Number (required):
Email Address (required):
Full Name
Relationship to child
Home Phone Number
Work Phone Number
Mobile Number
Email Address:
In giving consent for my child/ren to participate in the Before and After School Care Programme I agree to the following conditions.
Please state whether you are comfortable for us to use any photos or videos that we take for advertising on our Website or Facebook page.
AgreeDisagree (required)
Please check this box below if you declare the above information is correct