WAITING LIST ENROLMENT FORM     

Please complete the online form below and make payment of $20 to be added to our waitlist. A confirmation email will be sent from enrolments@alderleykindy.com.au once details and payment have been received. We currently have availability in our 2022 2-day group Thursday-Friday 8.00am-3.30pm for 2022 starting Term 1, Thursday 27^th January 2022.              

Child's details

Firstname and Surname

* *

Date of Birth (determines enrolment year)

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2017 2018 2019 2020 2021 2022 Gender Female Male

Parent's details

Parent 1 Firstname and Surname

* *

Parent 2 Firstname and Surname

Address

Number*

Street*

Suburb*

Postcode*

State New South Wales Queensland South Australia Tasmania Victoria Western Australia

E-mail Address

*

Verify E-mail Address

*

Best Phone Contact

*

Does your child require any additional support that we need to be aware of? No Yes

Do you have another child who has previously attended, is currently attending, or who is already on the waiting list to attend in the future? No Yes

I have read and agree to the terms and conditions *