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Waiting List Form
Child's Name
Date of Birth
Parent/Guardian to be contacted:
Home Address
Email Address
Telephone Home
Telephone Mobile
From which date do you require Childcare?
Preferred Days
Monday
Tuesday
Wednesday
Thursday
Friday
Please indicate variations to your preferences above
I will accept a position as it becomes available on any of the days ticked.
I will accept care as it becomes available, only if all the days ticked are available.
I would like to be called and offered any position available on any day as soon as my name reaches the top of the waiting list.
I will only accept positions that become available for all of my children at the same time. (Only applies, if you have completed waiting list forms for more than one child)
Priority of Access
Priority 1 - a child/ren at risk of serious harm.
Priority 2 - a child/ren of two parents or a single parent family that are currently working/training/studying.
Priority 3 - any other child (includes any parent at home ie: “home duties”.
Please tick any of the following that also apply to your family background
Aboriginal/Torres Strait Islander Family
Family with a child or parent/guardian with an identified disability.
Family with a culturally and linguistically diverse background.
Is your child currently attending another Centre.
How did you hear about us?
Referred from a friend/family
Advertisement at front of centre
Web search
Social media
*** We will inform you as soon as a position is available ***
