Gro Early Learning Mt Isa Before and Afterschool Care Registration Form
Parent/Guardian Name:
*
First Name
Last Name
Email
*
example@example.com
Best contact number
*
Please enter a valid phone number.
Format: 0000000000.
Your Relationship to child:
*
Are you a current enrolled family at Gro Early Learning?
*
Yes
No
Child's First Name:
*
First Name
Last Name
Child's Date of Birth
-
Day
-
Month
Year
Date
What primary school does your child currently attend?
Would you be interested in a future school drop-off and/or pick-up bus service for our Before and After School Care program?
We currently do not offer a bus pick-up or drop-off service, but we are exploring the possibility of adding this option in the future. This would be a school-to-service and service-to-school bus run only — not a home pick-up or drop-off service.
Yes, I would be interested in using a school bus pick-up/drop off service to and from my child's school
No, I do not require a pick-up service.
Maybe – I’d like more information if it becomes available.
If we were able to provide a bus school pick up service which days would you require drop off/pick up from your child's school?
Monday
Tuesday
Wednesday
Thursday
Friday
What are you preferred days?
*
Monday
Tuesday
Wednesday
Thursday
Friday
Fulltime
What is your desired start date?
*
-
Day
-
Month
Year
Date
Extra Information
Do you wish to claim the Child Care Subsidy?
*
Yes
No
Have you applied for Child Care Subsidy?
*
Yes
No
Any other relevant information?
How did you hear about Gro Early Learning?
*
Referral from a friend or family member
Online search (e.g., Google, Bing)
Social media
Website visit
We have attended the Centre in the past
Other
Submit
Should be Empty: