Waitlist FormPlease enable JavaScript in your browser to complete this form.Child's Name: *FirstLastChild's Date of Birth (dd/mm/yyyy): *Child's Gender *MaleFemaleParent/Carer 1 Name: *FirstLastParent/Carer 1 Relationship:Select from below...MotherFatherGuardianStep-MotherStep-FatherParent/Carer 1 Mobile Phone: *Parent/Carer 2 Name:FirstLastParent/Carer 2 Relationship:Select from below....MotherFatherGuardianStep-MotherStep-FatherParent/Carer 2 Mobile Phone:Address:StreetSuburbSuburbPost CodePost Code:Email *Names and ages of other children in the family:How did you come to know about Corinda Community Kindergarten? *Family/FriendLady Gowrie AssociationSocial MediaWebsiteInternetOtherIf 'Other':If 'Other', please provide details.Are there any additional needs of which you are aware that your child may require during his/her enrolment?YesNoIf 'Yes':If 'Yes', please provide details. If, for any reason, your child may need special assistance e.g. special facilities, special equipment or additional support staff, notify the centre as soon as possible so that the centre can plan for facilities/funding which can be applied for to best meet the needs of your child. This information is requested to assist the centre in long-term planning for the successful inclusion of the child with special needs. The information obtained WILL NOT be used to deny or delay enrolment of the child.Submit
