Enrol with Kindercare | Childcare Enrolment | Childcare | Kindercare

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Enrolment Enquiries Form

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Parent's full name

Primary Contact Number

Additional Contact Number 1

Additional Contact Number 2

Email address

Where did you hear about us?

Enrolment location

Child one details

Child's full name

Child's date of birth

dd/mm/yyyy

Child's gender

Male
Female

Preferred start date

Child two details

Child's full name

Child's date of birth

dd/mm/yyyy

Child's gender

Male
Female

Preferred start date

Child three details

Child's full name

Child's date of birth

dd/mm/yyyy

Child's gender

Male
Female

Preferred start date

Additional Comments

Please provide details re preferred days and hours enrolled, information relevant to your child, special needs, allergies etc.