Enrolment – Enquiry

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Enrolment – Enquiry OSHC

 

1. Child’s Name_________________________________________DOB ____________

Potential start date ____________________Year child likely to start school ___________

 

Preference 1

Monday	Tuesday	Wednesday	Thursday	Friday

Preference 2

Monday	Tuesday	Wednesday	Thursday	Friday

 

2. Child’s Name_________________________________________DOB ____________

Potential start date ____________________Year at school ___________

Preference 1

Monday	Tuesday	Wednesday	Thursday	Friday

 

Preference 2

Monday	Tuesday	Wednesday	Thursday	Friday

 

Other Children at Service

 

Child’s Name:_________________________________________

 

Days Attending

Monday	Tuesday	Wednesday	Thursday	Friday

 

Child’s Name:_________________________________________

Days Attending

Monday	Tuesday	Wednesday	Thursday	Friday

 

Parent/Guardian Details:

1. Surname: ______________________________ First Name: _____________________

 

Home phone ___________________   Mobile ____________Work phone ______________

Address: _________________________________________________________________________

 

2. Surname: ______________________________ First Name: _____________________

 

Home phone ___________________   Mobile ____________Work phone ______________

 

Address: _________________________________________________________________________

 

Office Use:

Booking/Holding fee paid on _____________

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