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Waitlist Application

Step 1 of 3

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Child's Name*
First Last
Date of Birth*

Parent One
Name*
First Last
Date of Birth*
Address*
Street Address City State / Province / Region ZIP / Postal Code
Home Phone
Work Phone
Mobile*
Email*
Occupation*
Languages Spoken*
Parent Two
Name
First Last
Date of Birth
Address
Street Address City State / Province / Region ZIP / Postal Code
Home Phone
Work Phone
Mobile
Email
Occupation
Languages Spoken
Which Parent will be registering for Child Care Benefit/Rebate?*
- Parent One
- Parent Two

Tick your preferred days*
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
When would you like attendance to commence?*
In order to comply with the Australian Government’s Priority of Access Guidelines (see below) and to ensure priority of enrolment on a needs basis, you are requested to supply the following information.
Please Specify
- Two parent family
- Single parent family
- Working full-time
- Working part-time
- Seeking employment
- Home duties
- Studying
Do you or your child(ren) have any health problems or disabilities?
- Yes
- No
Details
Do you have other children?
- Yes
- No
Details
Are there are other special circumstances?
- Yes
- No
Details
If you would like to view the Centre, please select one of the following dates. All visits commence at 10am for approximately 30 minutes. Please feel free to bring your child.
Preferred Viewing
- Thurs 7th march
- Tues 9th April
- Fri 17th May
- Thurs 13th June
- Tues 16th July
- Fri 16th August
- Thursday 19th September
- Tuesday 15th October
- Friday 15th November
By filling out this form your child’s name goes onto a waiting list. There is no guarantee of placement in the Centre. Please inform the Centre of any changes in your circumstances as this could save any future inconvenience or misunderstanding.
Signature*
NOTE
- Priority is given to siblings
- When offering places to new families we follow Priority of Access Guidelines
There are three levels of priority that the Centre must follow when filling vacant places:

Priority 1 - a child at risk of serious abuse or neglect
Priority 2 - a child of a single parent who satisfies, or of parents who both satisfy, the work/training/study test under section 14 of the A New Tax System (Family Assistance) Act 1999
Priority 3 - any other child

Within these main categories priority also has to be given in a certain manner, more details of which can be found in our Priority of Access Policy.
Application Fee
Price: $ 20.00
Comments
This field is for validation purposes and should be left unchanged.

Address

240 Birrell Street, Waverley, NSW 2024 Australia
PO Box 36, Waverley, NSW 2024 Australia

Phone:
(02) 9389 0853

E-Mail:
rebecca@stmaryschildcarecentre.org.au
pam@stmaryschildcarecentre.org.au

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