Kids Own Croydon » enrolments

enrolments

PARENT / GUARDIAN DETAILS

Title:

Parent First Name:

Parent Last Name:

Home Address:

Suburb:		Post code:
Home Phone:		Mobile Phone:

Work Phone::

Email*:

Comments:

CHILD 1 DETAILS

Given Name:

Middle Name:

Last Name:

Date of Birth:

(dd/mm/yyyy) (Please enter due date here also if

Start Date Preferred:

(dd/mm/yyyy)(TIP: it is easiest to get a place in Jan of each year)

Amt of Days Requ'd p/week

Preferred days?

Days you could not do?

TIP: Please note the more flexible you are, the easier it is to find a place for your child. Once your child attends Kids Own, it is then a lot easier to add or swap days.

Comments:

CHILD 2 DETAILS (if applicable)

Given Name:

Middle Name:

Last Name:

Date of Birth:

(dd/mm/yyyy) (Please enter due date here also if

Start Date Preferred:

(dd/mm/yyyy)(TIP: it is easiest to get a place in Jan of each year)

Amt of Days Requ'd p/week

Preferred days?

Days you could not do?

TIP: Please note the more flexible you are, the easier it is to find a place for your child. Once your child attends Kids Own, it is then a lot easier to add or swap days.

Comments:

CHILD 3 DETAILS (if applicable)

Given Name:

Middle Name:

Last Name:

Date of Birth:

(dd/mm/yyyy) (Please enter due date here also if

Start Date Preferred:

(dd/mm/yyyy)(TIP: it is easiest to get a place in Jan of each year)

Amt of Days Requ'd p/week

Preferred days?

Days you could not do?

TIP: Please note the more flexible you are, the easier it is to find a place for your child. Once your child attends Kids Own, it is then a lot easier to add or swap days.

Comments:

Do any of the children above have a developmental delay or disability including intellectual, sensory or physical impairment:

We would love to know how you found out about us: