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Waitlist

By completing the below waitlist form you consent to the Rise & Shine™ Terms and Conditions.

Once you complete this form, our Customer Service team will be in touch to discuss enrolments as you progress on the waitlist at your preferred centre.

Please note there is a 2 day minimum and all offers will include a Monday or Friday in the booking arrangement.

1. Choose your Kindergarten

2. Child’s details

First Name*

Surname*

Gender*

Female

Male

TBC

This selection is required

Date of Birth*

Preferred Start Date

Preferred Days

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Are you flexible with the selected days?

Yes

3. Primary Parent/Carer’s Details

First Name*

Surname*

Relationship to Child*

Phone or Mobile*

Email*

Address

4. Secondary Parent/Carer’s Details

First Name

Surname

Phone or Mobile

5. Child’s Personal Information

Does your Child have a Disability, Speech Delay, Additional Need
(i.e. Behavioural Concerns)?

Yes

Comments

Does your child speak English?

Yes

What is the main language spoken at home?

Any children in your family who have/or
are attending our Service?

Yes

Children’s Names

Is your child of Aboriginal or Torres Strait
Islander descent and recognised as such by the community?

Yes

Children who are not Vaccinated or
have not provided Vaccination Records may be excluded in the event of a Vaccine Preventable Disease.
Is your Child’s Immunisation up to date?

Yes

Additional Information

Any further information that may be
of assistance

Please notify us immediately if any of the above information changes in any way. (Failure to do so may result in loss of position on waiting list). We have a firm commitment to protecting the privacy of our clients. Personal information collected on this form is for the purpose of contact and establishing priority of access only.

Privacy Disclaimer

We acknowledge and respect the privacy of our clients. By completing this form, you have consented to this information being collected. You have the right to access and alter personal information concerning yourself or your child in accordance with the Privacy Act 1988 and our Privacy and Confidentiality Policy.

Waitlist

By completing the below waitlist form you consent to the Rise & Shine™ Terms and Conditions.

Once you complete this form, our Customer Service team will be in touch to discuss enrolments as you progress on the waitlist at your preferred centre.

Please note there is a 2 day minimum and all offers will include a Monday or Friday in the booking arrangement.

1. Choose your Kindergarten

2. Child’s details

First Name*

Surname*

Gender*

Female

Male

TBC

This selection is required

Date of Birth*

Preferred Start Date

Preferred Days

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Are you flexible with the selected days?

Yes

3. Primary Parent/Carer’s Details

First Name*

Surname*

Relationship to Child*

Phone or Mobile*

Email*

Address

4. Secondary Parent/Carer’s Details

First Name

Surname

Phone or Mobile

5. Child’s Personal Information

Does your Child have a Disability, Speech Delay, Additional Need
(i.e. Behavioural Concerns)?

Yes

Comments

Does your child speak English?

Yes

What is the main language spoken at home?

Any children in your family who have/or
are attending our Service?

Yes

Children’s Names

Is your child of Aboriginal or Torres Strait
Islander descent and recognised as such by the community?

Yes

Children who are not Vaccinated or
have not provided Vaccination Records may be excluded in the event of a Vaccine Preventable Disease.
Is your Child’s Immunisation up to date?

Yes

Additional Information

Any further information that may be
of assistance

Privacy Disclaimer

Waitlist

By completing the below waitlist form you consent to the Rise & Shine™ Terms and Conditions.

Once you complete this form, our Customer Service team will be in touch to discuss enrolments as you progress on the waitlist at your preferred centre.

Please note there is a 2 day minimum and all offers will include a Monday or Friday in the booking arrangement.

1. Choose your Kindergarten

2. Child’s details

First Name*

Surname*

Gender*

Female

Male

TBC

This selection is required

Date of Birth*

Preferred Start Date

Preferred Days

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Are you flexible with the selected days?

Yes

3. Primary Parent/Carer’s Details

First Name*

Surname*

Relationship to Child*

Phone or Mobile*

Email*

Address

4. Secondary Parent/Carer’s Details

First Name

Surname

Phone or Mobile

5. Child’s Personal Information

Does your Child have a Disability, Speech Delay, Additional Need
(i.e. Behavioural Concerns)?

Yes

Comments

Does your child speak English?

Yes

What is the main language spoken at home?

Any children in your family who have/or
are attending our Service?

Yes

Children’s Names

Is your child of Aboriginal or Torres Strait
Islander descent and recognised as such by the community?

Yes

Children who are not Vaccinated or
have not provided Vaccination Records may be excluded in the event of a Vaccine Preventable Disease.
Is your Child’s Immunisation up to date?

Yes

Additional Information

Any further information that may be
of assistance

Privacy Disclaimer

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Item 2
Item 3

Item 1
Item 2
Item 3

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      This is some preformatted text.
      It will display exactly as it is written,
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Google

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Name	Age
John Smith	35
Jane Doe	27

Demmo

HTML Demo

Text Elements

This is a paragraph of text.

This is a heading

This is a subheading

Item 1
Item 2
Item 3

Item 1
Item 2
Item 3

This is a blockquote.

      This is some preformatted text.
      It will display exactly as it is written,
      including line breaks and spaces.

Form Elements

Links and Images

Google

Tables

Name	Age
John Smith	35
Jane Doe	27