Waiting List Form

Waiting List Form

Welcome to St Paul's Children Centre Kogarah. Thank you for showing interest in enrolling your child in our service. Please fill out the form below to join the waiting list for child enrollment at our childcare centre.
Child's Full Name*

First NameLast Name
Child's Date of Birth*

DayMonthYear
Date
Which service would you like to enrol your child in?*
Which days do you wish to enroll your child?*

MondayTuesdayWednesdayThursdayFridayCasualI'll decide later
Parent/Guardian Full Name*

First NameLast Name
Parent/Guardian Phone Number*
Please enter a valid phone number.
Parent/Guardian Email Address*
example@example.com
Parent/Guardian Address

Street Address

Street Address Line 2
CityStatePost Code
Preferred Enrollment Start Date*

ImmediatelyNext monthIn the next 3 monthsAt a later date
Additional Notes or Special Requirements
Should be Empty: