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Waiting List Form

Phone

This field is for validation purposes and should be left unchanged.

Child's Information

Child's Name(Required)

Given Names Last Name

Address(Required)

Street Address Town State Postcode

Gender(Required)

Date of Birth(Required)

Kindergarten Start Year(Required)

(Child will turn 4 by June 30th of this year)

During their Kindergarten year will your child also attend another early childhood program?(Required)

Kindergarten

Child Care Centre

Family Day Care

Other

If your child gains a placement in our Kindergarten program, will you acknowledge this as your only access to a minimum of 15 hours of an Approved Kindergarten Program?(Required)

(Priority of offer of placement may be given to those families who acknowledge this service as their provider of an Approved Kindergarten Program for 15 hours due to funding eligibility. Please refer to Access and Admissions policy.)

Yes

If no, name of other program:

Has your child been diagnosed with additional needs and/or has your child attended any allied health services such as occupational therapist, speech therapist etc?(Required)

Yes

If yes, details:

Additional Comments

Parent/Guardian Information

Parent/Guardian 1

Parent 1 Name(Required)

First Last

Parent 1 Email(Required)

Parent 1 Phone(Required)

Parent 1 Alternative Phone

Parent 1 Address(Required)

Street Address Town State Postcode

Parent 1 Date of Birth(Required)

Parent/Guardian 2

Parent 2 Name

First Last

Parent 2 Email

Parent 2 Phone

Parent 2 Alternative Phone

Parent 2 Address

Street Address Town State Postcode

Parent 2 Date of Birth

Waiting List Terms

Do you agree to our Waiting List Fee terms(Required)

I wish to apply to have my child’s name included on the enrolment list for Beerwah and District Kindergarten.

I understand that this does not automatically entitle my child to a place, but will depend on vacancies at the appropriate time. I also understand that it is my responsibility to inform the Director of any changes to the addresses or phone numbers listed below.

Yes, I agree

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Enrol
Fees

Download Forms

Online Waiting List Form
Waiting List Form Download
Statement of Fees

Contact Us

(07) 5494 6346

Send us an email
9 Free Street
Beerwah QLD 4519

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Beerwah & District Kindergarten