SECTION 1

Questions 1 – 10

Complete the form below.

Write ONE WORD AND/OR A NUMBER for each answer.

Early Learning Childcare Centre

Enrolment Form

Example

Parent or guardian: Carol ……….Smith……….

Personal Details

Child’s name: Kate

Age: 1……………

Address: 2……………. Road, Woodside, 4032

Phone: 3345 9865

 

Childcare Information

Days enrolled for: Monday and 3……………

Start time: 4…………… am

Childcare group: the 5…………… group

Which meal/s are required each day? 6…………….

Medical conditions: needs 7……………

Emergency contact: Jenny 8…………… Phone: 3346 7523

Relationship to child: 9……………

 

Fees

Will pay each 10……………

 

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