Mt Cook Preschool Waiting List Form

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Please note that having a place a Mt Cook Preschool doesn't mean your child will be able to enroll at Mt Cook School. Please check Mt Cook School's zoning policy.

Today's Date *

YYYY

Child's first name *

Child's middle name

Child's family name *

Gender *

Female (girl)

Male (boy)

Required

Date of birth *

YYYY

Parent/Guardian 1 - Name

Parent/Guardian 1 - Phone

Parent/Guardian 2 - Name

Parent/Guardian 2 - Phone

Address *

Home phone (if different from above)

Email address

Is useful for us to keep in contact with you

Please indicate how you heard about Mt Cook Preschool *

From Mt Cook School

From our website

From our Facebook page

From our street signage

Through a playgroup

Flyer drop to your home

Flyer in a cafe - would appreciate if you could put the cafe name in the "Other" answer

From someone whose child is attending the preschool

Other:

Required

Which session time would work best for you *

Please indicate what session hours you need

8:45am - 2:45pm

Required

Feel free to tell us more about what would work for you.

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