Re-Enrolment Form

Re-Enrolment Form
Choose your Centre*
As we near the end of the year, we need to confirm if you are continuing or terminating your child's enrolment at the end of this year. To prioritise your bookings, please submit this form as soon as possible.
Account Name*
The name on your Child Care Account Statement
Your Email Address*
example@outlook.com
Will you be needing to re-enrol one or more of your children next year?

YesNo

Medical Conditions

A ‘medical condition’ is a condition that has been diagnosed by a registered medical practitioner.
Do any of your children have a medical condition?

YesNo

Rows	Agree
2 weeks’ notice prior to my Holiday start date has been given
My period of leave is at least 1 week of consecutive bookings
I acknowledge that I am entitled to 2 weeks per calendar year of reduced rates
I confirm that my account will be up to date (no fees owing) prior to our holiday

Termination of Enrolment
Will any of your children be terminating their enrolment at the Centre at the end of the current year? Note: If you indicate that your child is leaving the Centre, you will be asked to complete a Termination Form by the Centre.*

YesNo
Child 1*
Last Day of Attendance

DayMonthYear
Date
Child 2
Last Day of Attendance

DayMonthYear
Date
Child 3
Last Day of Attendance

DayMonthYear
Date
Child 4
Last Day of Attendance

DayMonthYear
Date
Note: Under government guidelines, Child Care Subsidy will only be paid up to the last physical day your child attends the service, therefore your child must attend the Centre on their last day of attendance as listed above. Failing to attend on this day will result in Full Fees being charged for all absences after their last physical day.

Bookings for the year ahead