HCS Waitlist Application Form

HCS WAITLIST APPLICATION FORM
Thank you for your enquiry for a place at Hay Children's Services. Please complete the following application form and submit. Please note, the lodgment of this application form does not guarantee acceptance of your child's enrolment at Hay Children's Services Inc.

Once an offer has been made and accepted, the full enrolment process will commence.

We welcome you to come and visit our services and meet our teams. Please call to make an enquiry 02 6993 1757

For CCS Eligible Services, CCS must be processed through to HCS prior to enrolment commencing. To find out more and to raise a claim, visit
Services Australia- CCS
HCS Family Handbook
NOTE: HAY Preschool – Minimum 2 day enrolment. 3 rd days are only offered if available and are not guaranteed.

Priority of Access Guidelines: HCS follow the priority of access guidelines when filling vacancies across ourservices. These guidelines must be used to allocate childcare places where there are more families requiring carethan places available. There may also be priority guidelines within our funding streams for children of certain ages.
- Priority 1 – a child at risk of serious abuse or neglect.
- Priority 2 – a child of a single parent who satisfies, or of parents who both satisfy, the work, training, studytest.
- Priority 3 – any other child.
Within the categories above, priority should also be given to children in: PLEASE TICK WHICH APPLY BELOW

Priority 1- a child at risk of serious abuse or neglectAboriginal and Torres Strait Islander families.families which include a disabled person (including NDIS Plan eligible).families from a non-English speaking background.single parent families.families which include an individual whose adjusted taxable income does not exceed the lower income threshold of $43,727 for 2015-2016 or who or whose partner is on income support.socially isolated families
Parent/Guardian Details
Name*
Address*
Contact number*
Email*
example@example.com
CHILD/REN DETAILS
Which Service is right for my child?

HCS Hay Early Learning Centre – Provides Early Childhood Education and Care for children aged 6 weeks to 6 years. Operating 8:00am-5:30pm weekdays at 344 Church Street Hay

HCS Hillston Billylids Early Learning Centre – Provides Early Childhood Education and Care for children aged 6 weeks to 6 years. Operating 8:15am-5:00pm weekdays at 61 Burns St Hillston

HCS Hay Preschool – Provides Early Childhood Education and Care for children 3 years to 6 years. Operating 8:30am- 4:00 pm weekdays at 348 Church Street Hay

HCS Mobile Venue – Provides Early Education and Care for children aged 0-6 years with priority going to children ages 3+ in line with funding agreements. Visiting remote towns within 200 km radius of Hay.
Required Service / Days for Child 1
Child 1 Name*
Date of Birth*

DayMonthYear
Date
Which service/s are you applying for Child 1?*

HSC Hay Early Learning CentreHSC Hay PreschoolHCS Mobile VenueHCS Hillston Billylids
What days would you like Child 1 to attend at the HCS Early Learning Centre?

MondayTuesdayWednesdayThursdayFriday
What days would you like Child 1 to attend at the HCS Hillston Billylids ELC?

MondayTuesdayWednesdayThursdayFriday
What days would you like Child 1 to attend at the HCS Preschool (note enrolments are minimum 2 days )? Please choose 2.

MondayTuesdayWednesdayThursdayFriday
Will you be requiring extended hours care from 4-5:30pm for Child 1 at the HCS Preschool for the days attending (note additional fees apply)? Leave blank if not required or tick days required

MondayTuesdayWednesdayThursdayFriday
Which Mobile venue service would you like Child 1 to attend?
Select venue/s that applies
Required Service / Days for Child 2
Child 2 Name
Date of Birth

DayMonthYear
Date
Which service/s are you applying for Child 2?*

HSC Hay Early Learning CentreHSC Hay PreschoolHCS Mobile VenueHCS Hillston Billylids
What days would you like Child 2 to attend at the HCS Early Learning Centre?

MondayTuesdayWednesdayThursdayFriday
What days would you like Child 2 to attend at the HCS Hillston Billylids ELC?

MondayTuesdayWednesdayThursdayFriday
What days would you like Child 2 to attend at the HCS Preschool (note enrolments are minimum 2 days )? Please choose 2.

MondayTuesdayWednesdayThursdayFriday
Will you be requiring extended hours care from 4-5:30pm for Child 2 at the HCS Preschool for the days attending (note additional fees apply)? Leave blank if not required or tick days required

MondayTuesdayWednesdayThursdayFriday
Which Mobile venue service would you like Child 2 to attend?
Select venue/s that applies
Required Service / Days for Child 3
Child 3 Name
Date of Birth

DayMonthYear
Date
Which service/s are you applying for Child 3?*

HSC Hay Early Learning CentreHSC Hay PreschoolHCS Mobile VenueHCS Hillston Billylids
What days would you like Child 3 to attend at the HCS Early Learning Centre?

MondayTuesdayWednesdayThursdayFriday
What days would you like Child 3 to attend at the HCS Hillston Billylids ELC?

MondayTuesdayWednesdayThursdayFriday
What days would you like Child 3 to attend at the HCS Preschool (note enrolments are minimum 2 days )? Please choose 2.

MondayTuesdayWednesdayThursdayFriday
Will you be requiring extended hours care from 4-5:30pm for Child 3 at the HCS Preschool for the days attending (note additional fees apply)? Leave blank if not required or tick days required

MondayTuesdayWednesdayThursdayFriday
Which Mobile venue service would you like Child 3 to attend?
Select venue/s that applies
Preferred start date

DayMonthYear
Date
(Please note days are subject to final numbers)
Flexible on Days*

YESNO
Additional Comments
Parent/Guardian Signature*

Clear
Date*

DayMonthYear
Date
HCS Waitlist Form V2 Revised 28.06.2022
Should be Empty:

HCS WAITLIST APPLICATION FORM

Parent/Guardian Details

CHILD/REN DETAILS