Ponyara Waitlist Application

Waitlist Application Form

Ponyara Pre-School Inc - 7 Violet Street, Roselands, NSW 2196, Telephone: 02 9759 6115 Email: ponyaraschool@optusnet.com.au Website: www.ponyarapreschool.com.au
This is an application form for Ponyara's waitlist. It does not guarantee a preschool place for your child.
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 - children who turn 4 by 31st July in the year off attendance (we do however offer places to children from 3 years of age.)*
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.

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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 Ponyara? 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 Ponyara if there are any changes to the information you have provided in this application. Ponyara 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for failure to contact you or for matters pertaining to the enrolment of your child if we have incorrect or outdated information.
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Waitlist Application Form

Additional information