Waiting List Application Form - Oxley Kids - Australia

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Christian Early Learning Day Care and Kindergarten
Waiting list application 
Parent name/s:  
Address:  
P/code:  
Mobile:  
Land line:  
Email:  
1. Child’s Name:
D.O.B:
2. Child’s Name:
D.O.B:
Long Day Early Learning Program 
Date care required:  
 
Number of days care required:
             Tuesday                 Wednesday                 Thursday                 Friday    
Monday
    
   
 Yes
Will your child access funded 4 year old kindergarten through our long day program?
 Unsure
 No
If yes, in which year __________________ 
Short Day Kindergarten Program 
Do you wish for your child to attend:  
 3 year old Short Day Kindergarten   Year  ________
 4 year old Short Day Kindergarten   Year  ________
 2017        2018        2019
Which year will your child commence school:   
 2020        2021        2022
How did you first hear about Oxley Kids? 
 Friend or Relative
 Mail out/Flyer
 I am a Past Student
 Internet Search
 Newspaper/Advertising
 Radio
 Sibling currently attends Oxley Kids/College
 Other    _ ___________________________________
Please tick all that apply to you and your family 
 Staff of Life Ministry Centre, Oxley Christian College or Oxley Kids
 Aboriginal or Torres Strait Islander
 Religious affiliation   ________________________
 Parent or child in family with a disability
 Both parents work or study
 Family holds a Health Care Card
 Single Parent or Pensioner
 Have you already enrolled or intend to enrol the above mentioned children to Oxley Christian College?
 English as a second language, please state primary language  _________________________________________
Office use only 
Click to Submit Form via Email
Date received:  
Entered into QikKids: 
Confirmation sent: 
Entered into Waitlist: 

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