Waiting List Registration Form - Maitland Community Preschool

Child's Details

Child's Full Name *

Child's Gender *MaleFemale

Child's Date of Birth *

Day *

Month *

Year *

Parent/Guardian's Details

Parent 1 Name *

Street Address *

Apartment, suite, etc

City *

State *

Postal Code *

Mobile Number *

Phone Number

Email Address *

Parent 2 Name

Street Address

Apartment, suite, etc

City

State

Postal Code

Mobile Number

Phone Number

Email Address

Enrolment Details

Please indicate your preference of days by ticking the box below (this is just an indication at this stage): *

2 day group: Mon & Tues, Tues & Wed, Mon & Wed, Thurs & Fri, Wed & Thurs or Wed & Fri3 day group: Mon, Tues & Wed or Wed, Thurs & FriPlease note that the 3rd day is charged at a higher fee as it is not subsidised at all by the Government.

Enrolment sought for the year: *

What year will your child enrol in Kindergarten?: *

Which school do you intend to enrol in (if already known)?:

To provide us with information to determine your child's priority of access on the waiting list could you please answer the following questions:

Do you hold a current Centrelink issued Health Care Card for low income reasons? *YesNoIf yes, this must be in your name and your child also listed on the card - please note a card in the name of a child only e.g. disability or foster care is not accepted for subsidised fees.

Are you or your child from an Aboriginal or Torres Strait Islander descent? *YesNo

Does your child have a developmental delay or disability? (e.g. learning difficulty, disability etc.) *YesNo

If yes, could you please provide more information?

Do you have an NDIS plan?YesNo

If yes, please provide your NDIS number

Was either parent or your child born in a non-English speaking country? If so, what languages are spoken at home? *

Could you please tell us about your cultural background?

Have any other siblings (or parents) previously enrolled at Maitland Community Preschool? *YesNo

If yes, please list name(s) and approximate year(s).

How did you hear about us? *

All applicants are entered on the waiting list in accordance with our enrolment policy. In late July each year we commence the allocation process for positions in the next year working our way through the waiting list, contacting parents by phone, until all positions are filled. Parents and children who accept an offer are required to attend an interview with the Director and will later be invited to share an orientation session before the child starts at the preschool. If a vacancy arises during the year parents will be contacted in priority of access order to fill the vacancy.

Parent completing the form *

Date *