Waiting List Enquiry Form

Email to send copy of form to

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Your First Name

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Your Last Name

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Preferred Start Date

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Attended a tour with child?

Yes

No

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First Name

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Surname

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Preferred name

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Date of Birth

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Gender

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Address

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Country of Birth

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Primary language spoken at home

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Is your child? (Please tick if applicable)

Aboriginal

Torres Strait Islander

Health Care Card / Pensioner Concession Card / Veteran Card?

Yes

No

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First Name

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Surname

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Preferred name

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Country of Birth

Gender

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Language(s) spoken at home

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Contact Number

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Email

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Occupation

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Religion

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First Name

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Surname

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Preferred name

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Country of Birth

Gender

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Language(s) spoken at home

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Contact Number

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Email

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Occupation

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Religion

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Does your child have any kind of developmental delay or disorder?

Yes

No

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Do you have reports from professionals regarding your child?

Yes

No

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Message

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What year do you anticipate your child will attend primary school?

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Enrolment preferences (Generally, the groups will mostly be 4-year-olds with occasional spaces available for 3-year-old children in the Thursday-Friday group)

Monday-Wednesday group

Thursday-Friday group

Is there any other relevant information you feel we should know?

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Have any siblings attended the preschool? (Please give names and years attended)

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Placement on the waiting list is in order of application. We are licensed to take children from 3 years of age, however due to funding guidelines, priority is given to children turning 4 by 31st July in the year they come to preschool.

In making an application to be placed onto the waiting list at St Mark’s Preschool Kindergarten, I understand it is my responsibility to keep the preschool informed of any changes of address or contact phone numbers so that the preschool is able to make contact with me. Also, any changes to the other information, eg: if developmental delays/disorders become apparent, or change; it is the parents responsibility to inform the preschool of these prior to the enrolment process. Failure to comply may result in your child’s application being cancelled.

Yes, I agree

No, I do not agree

I confirm that the above information is true and accurate.

You must agree before submitting.

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Country

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Waiting List Enquiry Form

Child Details

Parent/Guardian 1

Parent/Guardian 2

Supplementary Questions:

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Declaration:

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St Marks Preschool

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