CPCK Waitlist Application

Waitlist Application Form

Collaroy Plateau Community Kindergarten Inc - 41-43 Hall Avenue, Collaroy Plateau, NSW 2097 Telephone: 02 9982 6167 | info@cpck.com.au
This is an application form for Collaroy Plateau Community Kindergarten's waitlist. It does not guarantee a preschool place for your child. Once this application and $50 waitlist administration fee (non-refundable) are received, we will email you to confirm your child's name on our waitlist.

Offers of Preschool places are made commencing July in the year preceding entry. It is important that you notify us of any changes to your contact details. Enrolment offers continue to be made up until the end of the year and into the new year.

During our preschool year, if places become available, we return to the waitlist and continue offering places. Preferred days for your child's attendance can be selected at the time of enrolment offer. Please head to our website for further information about attendance patterns.
Child's Name*

First NameLast Name
Child's Gender*
Child's Date of Birth*

DayMonthYear
Date
Names can only be added to the waitlist from birth.
Desired year for Preschool entry (child must turn 4 by 31st July in the year of attendance) (Note: 2025 and 2026 waitlists are full and we are no longer taking application forms)*
Parent 1*
Parent 2
Home Address*

Street Address

Street Address Line 2

SuburbState

Post Code
Postal Address (If different from above)

Street Address

Street Address Line 2

SuburbState

Post Code
Parent 1 Mobile Number*
Please enter a valid phone number.
Parent 2 Mobile Number
Please enter a valid phone number.
Parent 1 Email*
Parent 2 Email
Additional information
Does your child have any additional needs? e.g. Language Delay, Autism Spectrum Disorder, Sensory or Physical Disability, or other*
If you have relevant medical reports or reports from Speech Pathologist, Occupational Therapist, Developmental Assessment or other - please upload it here.

Cancelof
Does your child come from a language background other than English? *
If you answered 'Yes' to the above question - please indicate which languages your child speaks and understands.
Does your child come from an Aboriginal or Torres Strait Islander (ATSI) Background? *
Has a child from the same immediate family attended CPCK? If yes, please specify child's name and years attended.*
Does your family hold a Low Income Health Care Card as your family may be eligible for a subsidy?*
How did you hear about us?*
If you answered 'Other' to the above question - please share it below:
Comments or anything you would like us to know:
Notification of Change of Details:

Please contact CPCK if there are any changes to the information you have provided in this application. CPCK cannot accept responsibility for failure to contact you or for matters pertaining to the enrolment of your child if we have incorrect or outdated information.

Waitlist Application Form

Additional information

Credit Card