Early Learning Childcare Centre – Enrolment Form

Questions 1-10

Complete the notes. Write ONE WORD AND/OR A NUMBER in each gap. 

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.