Kindergarten Enrolment Withdrawal and Feedback Form
Name of child:
*
First Name
Last Name
Name of Parent/Guardian:
*
First Name
Last Name
Email:
*
example@example.com
Which kindergarten do you wish to withdraw from?
*
Please Select
Glen Aspendale North Kindergarten
Glen Bentleigh Kindergarten
Glen Bentleigh East Kindergarten
Glen Brady Road Kindergarten
Glen Carnegie Kindergarten
Glen Caulfield South Kindergarten
Glen Caulfield Primary Kindergarten
Glen Centre Road Kindergarten
Glen Chelsea Kindergarten
Glen Edithvale Kindergarten
Glen Fern Street Kindergarten
Glen Glover Street Kindergarten
Glen McKinnon Kindergarten
Glen Mordialloc Kindergarten
Glen Murrumbeena Kindergarten
Glen North Cheltenham
Glen Sacred Heart Kindergarten
Glen Serrell Street Kindergarten
Glen St John Kindergarten
Glen St Patrick's Kindergarten
Glen Orrong Road Kindergarten
Glen Sundowner Kindergarten
Child's last date of kindergarten attendance:
*
-
Month
-
Day
Year
Date
What is your reason for withdrawal of kindergarten
*
Moving out of the area
Attending childcare/Long day care/Early learning centre
Location do not suit
Hours/Days do not suit
Not meeting individual needs of my child
Educational team
Program and Practice
Management and Operations
Facilities
OH&S standards
Kindergarten culture
Other
What did you/your child enjoy most about the kindergarten experience?
Is there anything you would like to share with us that may have made your kindergarten experience better?
If you would like to share any additional comments or experiences about your kindergarten experience, please enter them below:
Would you like a follow up call to discuss your feedback further?
Yes
No
Signature
*
Date
*
-
Month
-
Day
Year
Date
Submit
Should be Empty: