Child Care Centre Waiting List Application

Please nominate which centre(s) you would like to enrol your child in from the following list in order of preference with one being your top choice. (Please only nominate centres you will accept offers from in your preferences).

Jack High Long Day Care Centre, Beverly Hills:

(0 to 6 years)

Penshurst Long Day Care Centre, Penshurst:

(0 to 6 years)

Carss Park Narani Childcare Centre:

(0 to 6 years)

South Hurstville Kindergarten:

(3 years onwards)

Oatley West Early Learning Centre:

(0 to 6 years)

Child 1 Family Name:

Child 1 Given Name:

Child 1 Date of Birth (Estimated Due Date):

dd/mm/yyyy

Child 1 Gender:

Male

Female

TBA

Child 2 Family Name:

Child 2 Given Name:

Child 2 Date of Birth (Estimated Due Date):

dd/mm/yyyy

Child 2 Gender:

Male

Female

TBA

Child 3 Family Name:

Child 3 Given Name:

Child 3 Date of Birth (Estimated Due Date):

Child 3 Gender:

Male

Female

TBA

CONTACT ONE

Title*:

Family Name*:

Given Name*:

Address*:

Post Code*:

Phone (home)*:

Phone (work):

Mobile*:

Email*:

Relationship to child*:

CONTACT TWO

Title:

Family Name:

Given Name:

Address:

Post Code:

Phone (home):

Phone (work):

Mobile:

Email:

Relationship to child:

Please provide additional information regarding your child’s development that will assist us to ensure your child is placed in the right environment. You may be contacted by one of our Early Learning professionals to discuss your child’s needs during this process.:

Do you have a sibling currently attending a service?:

How did you hear about our child care centres?:

Word of mouth

Recent advertising

Georges River Website

Pop up store

Others

Submission of this form does not constitute a guaranteed placement of your child at the centre.
Priority of access and placement is determined by compliance with regulatory requirements.
All waiting list applications are processed in order of the date of receipt of the original application.
It is your responsibility to advise the administration office on (02) 9330 6449 or csadmin@georgesriver.nsw.gov.au of any changes to the information provided on this waiting list form. Please note that if we are unable to contact you your application will be removed from the waiting list.
The information and personal details provided on this Waiting List Form are managed in accordance with the Privacy and Personal Information Protection Act 1998 and Georges River Council’s policies and procedures as outlined in the Privacy Management Plan 2013.
Deposit fee are Non-Refundable

Payment

Price:

$33.00

Credit Card Type *

Cardholder's Name *

Credit Card Number *

CVV Number *

Expiry Date *

Please tick to confirm you have read and agreed to our Terms & Conditions *