Child's Name *

First Name

Last Name

Boy

Girl

Date of Birth *

MM

DD

YYYY

Parent's or Main Caregivers Name *

First Name

Last Name

Preferred starting date *

MM

DD

YYYY

Preferred enrolment days *

Please note minimum days of attendance is 3 days for over three years old, and 2 days for under three year olds.

Monday

Tuesday

Wednesday

Thursday

Friday

I am flexible