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    Waiting List Application

    Uploaded by

    Melissa Setterfield
    This 3 sentence summary provides the key details from the preschool application form document: The document is an application form for a preschool waiting list that collects information such as the child's name and date of birth, contact details for both parents, family income, ethnicity, sessions preferred, and any other early childhood services currently attended.

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    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd

    Waiting List Application

    Uploaded by

    Melissa Setterfield
    45 views1 page
    This 3 sentence summary provides the key details from the preschool application form document: The document is an application form for a preschool waiting list that collects information such as the child's name and date of birth, contact details for both parents, family income, ethnicity, sessions preferred, and any other early childhood services currently attended.

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    Waiting List Application

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    This 3 sentence summary provides the key details from the preschool application form document: The document is an application form for a preschool waiting list that collects information such as the child's name and date of birth, contact details for both parents, family income, ethnicity, sessions preferred, and any other early childhood services currently attended.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    45 views1 page

    Waiting List Application

    Uploaded by

    Melissa Setterfield
    This 3 sentence summary provides the key details from the preschool application form document: The document is an application form for a preschool waiting list that collects information such as the child's name and date of birth, contact details for both parents, family income, ethnicity, sessions preferred, and any other early childhood services currently attended.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    You are on page 1of 1

    School 20__________

    Dubbo West Preschool Inc


    Confidential
    Application for waiting list

    Group 3 yo / 4 yo

    Date of booking _____________________________________


    Surname _________________________

    Childs Name ________________________

    Date of birth __________________________

    Male / Female

    Parent 1 Name __________________________________________________________


    Address ________________________________________________________________
    Phone # (home) ___________________________ mobile _______________________
    Occupation _____________________________Work phone ______________________
    Parent 2 Name __________________________________________________________
    Address ________________________________________________________________
    Phone # (home) ___________________________ mobile _______________________
    Occupation _____________________________Work phone ______________________
    Are you or your child of Aboriginal or Torres Strait Islander background?
    Are you or your child from a country other than Australia?

    Yes / No

    Yes / No

    Total family income less than $75 000 per year?

    Yes / No

    Has a sibling attended Dubbo West Preschool?

    Yes / No Year ________

    Any Special Needs? Yes/No


    Details:_________________________________________________________________
    To commence from _______________________
    Sessions preferred

    3 Year Olds
    Wed

    One Day
    Thurs

    1/2 Day
    Fri

    4 Year Olds
    1 1/2 days
    2days
    2 1/2 days
    3days
    Thur/Fri Mon/Tues Wed/Thur/Fri Mon/Tues/Wed
    Does your child attend any other early childhood service at present?

    Yes / No

    Comments ______________________________________________________________
    ________________________________________________________________________
    C: My Data/ Office Information/ waiting list application

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