Waiting list for (required)
    202520262027

    Child's Surname :

    First name :

    Date of birth :

     

    Gender at birth :
    MaleFemale

    Date childcare required from :

    Year starting kindergarten/School :

    Name of School :

    Does your child have any special needs?

    Parent 1 name (required)

    Parent 2 name (optional)

    Mobile (required)

    Mobile (optional)

    Home Phone (optional)

    Home Phone (optional)

    Email Address (required)

    Email Address (optional)

    Address (required)

    Address (optional)

    Days offered below are the only options. No split or single days.

    2 Days : NoneMon & TueThur & Fri

    3 Days : NoneMon, Tue & WedWed, Thur & Fri

    4/5 Days : NoneMon, Tue, Thur & Fri (No Wednesday)Mon, Tue, Wed, Thur & Fri

    Are you flexible with your days? YesNo

    Is your child's immunisation up to date? YesNo

    Comment :

    Referred to London Carriage by:

    Terms and Conditions of Enrolment at London Carriage

    • An official starting date will be given upon confirmation of a position. To secure this place, a $400 non-refundable enrolment fee will be required.

    • Fees are due the first day of enrolment each week. Fees are charged for public holidays, absent days, sick days, and holidays taken outside of the official holiday break when the centre is closed for two weeks.

    • Parents are required to abide by the centre policies, which are available for all parents to read at the centre. Please do not hesitate to ask to see the policy manual.

    • From 1 January 2018, children who are unvaccinated due to their parent's conscientious objection will no longer be able to be enrolled in child care.

    I have read this document and agree to abide by these Terms and Conditions.

    Parent Name:

    Date:

    Priority of Access

    The commonwealth has determined priority of access guidelines for day care centre. In order to comply with Commonwealth Priority of Access guidelines, parents are requested to supply the following information. The three levels of priority as at November 2006 are as follows:

    • Priority 1 : a child at risk of serious abuse of neglect;

    • Priority 2 : a child of a single parent who satisfies, or of parents who both satisfy, the work/training/study test under section 14 of the A New Tax System (Family Assistance) Act 1999;

    • Priority 3 : any other child.

    Parents must indicate to the Director which priority of access category they fall into and advise the Director if there are any changes to this priority of access. London Carriage may require a priority 3 child to vacate a place to make room for a children with a higher priority.

    Please also indicate:

    Parent 1 : working full time/ part time / unemployed
    Looking for employment / Single parent/ Home duties/ Student / Disability

    Parent 2 : working full time/ part time / unemployed
    Looking for employment / Single parent/ Home duties/ Student / Disability

    Are you at home with more than one child below school age?

    YesNo

    Age :

    Should the above circumstances change at any time, please notify the Centre as this may change your eligibility status. You may be eligible for Child Care Assistance. Please contact your local Family Assistance Office.

    Do you need translation of centre information in another language?

    YesNo

    Language :