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: