| 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. |