Please fill in the online enrolment request form below to be placed on our waiting list.
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:*
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 NoIf Yes, please explain:
Preferred Start Date:
How did you learn about Essendon Kids?---Search EngineReferralYellow PagesNewspaper/Local PaperOn-Site Advertising
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