Waitlist / Enrol

Please fill out the enrolment form below. All fields with an * are compulsory to fill out.

Parent / Guardian Details

Address Line 2

Child Details

Additoinal Comments

NB: Unimmunised Children will be excluded from the service if an outbreak
of a vaccine preventable disease occurs. Please refer to Child and Stagg immunisation Policy

Address: 24 Kennedy Street, Picnic Point

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