Waitlist Registration

Welcome to GRO Early Learning Mt Isa

Care Registration form
Parent/Guardian Name:*

First NameLast Name
Email*
example@example.com
Have you been referred by a current family - Please provide the family's name below
Best contact number*
Please enter a valid phone number.
Your Relationship to child: *
Are you a current enrolled family at Gro Early Learning?*

YesNo
Child's First Name:*

First NameLast Name
Childs Date of Birth or Expected Delivery Date:*

DayMonthYear
Does your child have any special requirement's?
Any other relevant information?
What are you preferred days?*

MondayTuesdayWednesdayThursdayFridayFulltime
Sometimes we will only have vacancies on some of the days you require. Please indicate below if you are willing to commence your enrolment with only some of the days you have requested. If you require additional days, they will be offered to you as they become available. We give priority for additional days to families who are already enrolled.
Are you flexible with your booking days?

YesNoUnsure
What is your desired start date?*

DayMonthYear
Date
Extra Information
Do you wish to claim the Child Care Subsidy?*

YesNo
Have you applied for Child Care Subsidy?*

YesNo
Would you like to book a tour ? Please book below
Are you Working, Training or Studying or looking for work?*

YesNo
Would you like to be notified via text message if casual bookings become available due to cancellations or openings for you childs age group?

Yes, please notify me: I would like to receive text message notifications about any available casual bookings.No, I'm not interested: I prefer not to receive text message notifications about casual bookings.
Please select any of these that apply*

Aboriginal and Torres Strait IslanderFamily includes a disabled personParent 1: Care required for workingParent 2: Care required for workingParent 1: Care required for studyParent 2: Care required for studyCare required for socialisationSingle parent familyNone of the above
How did you hear about Gro Early Learning?*

Referral from a friend or family memberOnline search (e.g., Google, Bing)Social mediaWebsite visitWe have attended the Centre in the pastOther
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Welcome to GRO Early Learning Mt Isa

Extra Information