Whitfield Long Day Care Waitlist

Whitfield Long Day Care Waitlist
Register Your Interest

If you are interested in your child attending our Long Day Care program please complete the following waitlist application. Should a position become available we will be in contact with you to provide the next steps in our enrolment process.
Your Details
Parent/Guardian Name*

First NameLast Name
Parent CRN
Phone or Mobile Number*
Parent/Guardian Email Address*
Please be aware this email address will be used to send your enrolment forms should you be offered a place.
Street Address*

Street Address

Street Address Line 2

CityState

Post Code
Have you applied for CCS

YesNo
Which parent is the CCS Claim linked to?
Child 1 Details
Child's Name*

First NameLast Name
Child's Date of Birth*

DayMonthYear
Date
Child's CRN
Child 2 Details
Child's Name

First NameLast Name
Child's Date of Birth

DayMonthYear
Date
Child's CRN
Child 3 Details
Child's Name

First NameLast Name
Child's Date of Birth

DayMonthYear
Date
Child's CRN
Enrolment Information
How many days do you require?
I'm looking for care from:*

DayMonthYear
Date
What days are you seeking care for?*

MondayTuesdayWednesdayThursdayFriday
Does your child have and special needs? Please provide information below?
Has your child had sibling's attend Whitfield? Please give details below.
Priority of Access Fact Sheet
Priority of Access

Allocation of available places is made in accordance with the Australian Government's Priority of Access Guidelines and other information gathered from you as part of this waitlist process. Please answer the following questions to ensure we can assess your waitlist accordingly.
Please select any of these that apply*

Aboriginal and Torres Strait IslanderFamily includes a disabled personThe child is at riskParent 1: Care required for workingParent 2: Care required for workingParent 1: Care required for studyParent 2: Care required for studyParent 1: Looking for workParent 2: Looking for workCare required for socialisationSingle parent family
Has your child(children) or a family member had contact with The Orange Door, Child FIRST or Child Protection in the past?

YesNo
Please note that we have limited places at our service. If we are unable to accommodate your full request would you be interested in part of your request?

YesNo
Should be Empty:

Whitfield Long Day Care Waitlist

Your Details

Child 1 Details

Child 2 Details

Child 3 Details

Enrolment Information

Priority of Access Fact Sheet