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Application for Wait Listanzac2024-06-07T00:47:35+00:00

Application for Wait List

Please complete the following form to place your child on the wait list and ensure all information is accurate and up-to-date.

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CHILD'S DETAILS

Child's Given Name *

Child's Family Name *

Child's gender *

Male

Female

Non-Binary

Other (please specify below)

Please supply gender details (if "Other")

Date of Birth *

Street Address *

Suburb *

Postcode *

Home Phone *

Email *

PARENT 1 DETAILS

Parent 1 Given Name *

Parent 1 Family Name *

Parent 1 Mobile *

Parent 1 Nationality *

Parent 1 Street Address *

Suburb *

Postcode *

Parent 1 Employer *

Parent 1 Occupation

Parent 1 Work Phone

Parent 1 Hours of work

PARENT 2 DETAILS

Parent 2 Given Name

Parent 2 Family Name

Parent 2 Mobile

Parent 2 Nationality

Parent 2 Street Address

Suburb

Postcode

Parent 2 Employer

Parent 2 Occupation

Parent 2 Work Phone

Parent 2 Hours of work

GENERAL INFORMATION

Language spoken in the home *

Are you in receipt of any benefit? *

Yes

No

If yes, please supply benefit details

What days do you require Care? *

Monday

Tuesday

Wednesday

Thursday

Friday

Does your child have any special needs or disabilities? *

Yes

No

If yes, please supply special needs or disability details

Date from which Preschool is required *

Please note: it may not be possible for your child to commence on this date

Is there any other information you feel we should know?

Submitted by *

Date *

If you are human, leave this field blank.

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ANZAC VILLAGE PRESCHOOL
Phone (02) 9602 2357
3 Chauvel Avenue WATTLE GROVE NSW 2173

Apply to join our Wait List

Download our Enrolment Form

“Our educators will act on behalf to protect and advocate for all children and their families. Respect, teamwork and trust are the qualities that bind us.” AVPS Philosophy