Enrolment Form

This Enrolment Form in conjunction with the Schedule of Fees will be used as a Complying Written Agreement for Child Care Subsidy purposes between The Guardian (as detailed on this form) and XYZ Child Care Centre for the care of the Enrolled Child by XYZ Child Care Centre.

Child's Details

Last Name *

Given Name *

Sex *

CRN:

Date of Birth *

Place of Birth *

Parent Details

Name *

Relationship to child *

Phone Number *

Email Address *

Other Information

Days of Attendance

MondayTuesdayWednesdayThursday

Start Date *

Do you have any special requirements?

NoYes

Please state the special requirements

Upload birth certificate or other documents

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I agree to maintain the payment of my fees using the centre’s fee processing systems and policies. *

I agree to abide by the Centre Policies and Procedures, in the Parent Information and Centre Policy books. *

Sign here

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