Essendon Kids Nursery and Kindergarten

enrolment request

Please fill in the online enrolment request form below to be placed on our waiting list.

Child's Name:

Date of Birth (or anticipated date):

How old will your child be at commencement of attendance:
years months

Name of person enrolling child:*

Relationship to child:*

Address:

Suburb:

Postcode:

Phone (H):*

Phone (W):*

Mobile:*

Email:*

Please select the number of days you require:
 5 days 4 days 3 days 2 days 1 day

Please select the days you require:
 Monday Tuesday Wednesday Thursday Friday

What hours of care per day will you generally require:
(Eg. 7am - 3pm)

Has your child attended another centre in the past year?
 Yes No

Does your child have any special needs or care requirements?
 Yes No
If Yes, please explain:

Preferred Start Date:

How did you learn about Essendon Kids?

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