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Enrollment Form

Parent / Guardian Details

First name (Required)

Phone number (Required)

Address (Required)

Postcode (Required)

 

Last name (Required)

Mobile Phone

Comments

Relationship to child

Child's Details

Child's first name (Required)

Gender
 Male Female

 

Child's last name (Required)

Date of Birth

Care Required

Days required? (Minumum two days required) All None

Days :  Monday Tuesday Wednesday Thursday Friday

How did you find about us? (Required)