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Pre-Enrolment Registration Form

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Child Details:

First name*

Child Family name*

Date of Birth*

Gender*

Male

Female

Proof of age must be provided at time of enrollment

Address*

Proof of address may be requested at the time of the enrolment.

Is your child of Aboriginal or Torres Strait Islander origin?*

No

Yes, Aboriginal

Yes, Torres Strait Islander

Is this child under the Guardianship of the Minister for Education and Child Development or in alternative care?*

No

Yes

Does your child have any additional needs or a medical condition that may require support?*

No

Yes

If yes, please provide details below

Parent / Guardian Details:

Full Name*

Email*

Phone

Relationship to child*

Site Details:

Have you registered at another government preschool(s)?*

No

Yes

If yes, name of preschool(s) in order of preference:

Additional Information

Message:

Priority of access have children from Elizabeth East and Hillbank areas.

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