9522 5433
enquiries@sylvaniawatersearlyeducation.com.au
7am to 6:00pm, Monday to Friday
#htmlcaption1 #htmlcaption2 #htmlcaption3 #htmlcaption4 #htmlcaption5
We are inviting you to place your child on our waiting list for placement within one of our Centres. Please complete the Waiting List Application below. Please call our team on 9522 5433 and speak to the Centre Director at the Centre of your interest directly.

Filling this out places you on our waiting list and does not necessarily mean your child will become enrolled in our service. A $50.00 non-refundable application fee. This $50.00 is to secure your position on the waiting list at the centre. Upon commencement of enrolment, this fee will be deducted from the Initial Payment. For more information on the Waiting List see our TERMS AND CONDITIONS. Payment options become available after you submit your application.

Start Date
Centre
How did you hear about us?
Do you belong to a mothers group or social group?
(If so please give name and contact details)
Name
Contact details
Does your child receive care in any other service?
   
Child's Details  
Family name
Child’s name  
Gender
Date of birth
Place of birth
Country of birth
Street address
Suburb/town
State
Postcode
Email  
Home phone
Mobile  
Religion
Language
Cultural background
Legal guardian
Do you have a sibling or have had a child previously enrolled at this centre?
Special needs or Disabilities
CRN: (if known)
Does your child have a communicable disease?
Attendance Requested  
Please tick the days of service requested. Please also provide the hours of care required. The centre opening hours are from 7am to 6.00pm. You should note that the days requested and hours requested will be offered based on availability & subject to regulated staff & child ratios.
  Monday Tuesday Wednesday Thursday Friday
Please Tick Days Required
Start Time Requested
Finish Time Requested

Parent Details

 
Family Name: Parent 1 Parent 2
First Name: Parent 1 Parent 2
Address: Parent 1 Parent 2
Suburb/state/postcode: Parent 1 Parent 2
Home phone number: Parent 1 Parent 2
Work phone number: Parent 1 Parent 2
Mobile phone number: Parent 1 Parent 2
Email address: Parent 1 Parent 2
Relationship to child: Parent 1 Parent 2
Date of birth: Parent 1 Parent 2
CRN: Parent 1 Parent 2
Relationship status: Parent 1 Parent 2
Primary language spoken: Parent 1 Parent 2
Nationality: Parent 1 Parent 2
Occupation: Parent 1 Parent 2
Place of employment: Parent 1 Parent 2
Working status: Parent 1 Parent 2
Usual hours of work: Parent 1 Parent 2
Address of employer: Parent 1 Parent 2
Suburb/state/postcode: Parent 1 Parent 2