• WILLIAMTOWN PRE SCHOOL INC.

  • 20A Kangaroo Steet, Raymond Terrace NSW 2324

    PO Box 5014, Raymond Terrace East  NSW  2324 

    Phone: 02 49 877009   Email: wlmpres@bigpond.com 

  • ATTENDANCE APPLICATION FORM

  • Gender*
  • Day/s Interested:

  • HRS: 8:30am - 4:00pm

  • Date Pre School is Required
     - -

  • (Note; it may not be possible for your child to commence on this date). 

  • Aboriginal / Torres Strait Island Descent:
  • Low Income Health Care Card Holder:
  • EXP Date
     - -
  • Year your child is to start Kindergarten*
     - -
  • Rows

  • Mother / Partner Information

  • Rows

  • Father / Partner Information

  • Rows

  • Other Infomation

  • Has your child been diagnosed with a DISABILITY?

  •  (We may be able to apply for funding to assist your child's needs)

    (Please attach copies of reports and documentation)

  • Have you any Additional Needs?*
  • Have any PHYSICAL / MEDICAL or SPEECH concerns?
  • Have any BEHAVIOURAL issues?
  • ALLERGIES
  • EpiPEN Required?*
  • Is your child attending another Centre?*
  • Should be Empty: