Aero Kids Early Learning Centre
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Waiting List Application
Waiting List Application
About Your Child
Given Name
Surname
Gender (c)
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Male
Female
Date of Birth
Due Date
Address
Suburb
State
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NSW
ACT
VIC
QLD
TAS
WA
SA
NT
Postcode
Home Phone
Attendance Information
Start Date
Days Required
Monday
Tuesday
Wednesday
Thursday
Friday
Hours Required
From
To
Are these days flexible?
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Yes
No
So that the Centre is able to follow the priority of access determined by Family and Community Services, please tick any of the following which may apply to you, your child or your family.
Both parents working/studying
One parent working/studying
Single parent working/studying
Sibling/s enrolled at Aero Kids
Non-English speaking background
Disabilities
Language/s spoken at home
Does your child have any allergies, special needs or disabilities?
Mother's Details
Name
Workplace
Occupation
Email
Work Phone
Mobile Phone
Father's Details
Name
Workplace
Occupation
Email
Work Phone
Mobile Phone
Applicant Details
First Name
(required)
Last Name
(required)
Email Address
(required)
Mobile Phone
(required)
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