Waitlist Registration Form
Registration entitles entry to waitlist. Please submit this form and make payment of the $50 non-refundable registration fee to the front desk, or make a bank transfer to:

Childrens Garden Kindercare
Bsb: 083 004
Acc: 869379387
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Child's Given Name *
Child's Last Name *
Child's sex *
Parent(s) Name(s) and last name(s): *
Parent 1 Mobile Number *
Parent 2 Mobile Number
Parent(s) email address (separate addresses with a comma) *
Child's Date of Birth *
MM
/
DD
/
YYYY
Home Address
Siblings Names/Ages
Where did you hear about us? If referred by someone, please let us know :)
Preferred Start Date *
MM
/
DD
/
YYYY
Tick box for the program(s) you are interested in:
Tick boxes for the days of the week you are interested in (Minimum 3 days for Childcare and Kindergarten):
Have you visited the centre for a tour yet?
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Are you familiar with Steiner Education? How?
Would you like to be included in our mailing list with invitations to our workshops, courses, events and articles?
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