Waitlist - Rise & Shine Kindergarten

Preferred Centre*

Preferred Centre 2

Parent / Guardian’s Details

First Name*

Surname*

Street*

Suburb*

Postcode*

State*

Phone Number*

Email*

Relationship to child*

Preferred Contact

Phone
Email

Your Child / Childrens’ Details

How many children to join the waitlist?*

Child #1

First Name*

Surname*

Is your child born?*

Yes
No

DOB or Due Date*

Does your child have any additional needs or health requirements?*

Yes
No

Please provide details:

Start Date*

Days (Minimum 2 days & must include a Monday or Friday in the booking arrangement)*

Monday
Tuesday
Wednesday
Thursday
Friday

Flexible on days?*

Yes
No

Child #2

First Name

Surname

Is your child born?

Yes
No

DOB or Due Date

Start Date

Days (Minimum 2 days, must include a Monday or Friday in the booking arrangement)

Monday
Tuesday
Wednesday
Thursday
Friday

Flexible on days?

Yes
No

Child #3

First Name

Surname

Is your child born?

Yes
No

DOB or Due Date

Start Date

Days (Minimum 2 days)

Monday
Tuesday
Wednesday
Thursday
Friday

Flexible on days?

Yes
No

Comments

How did you find out about Rise & Shine?

Waitlist Terms & Conditions*

I have read and agreed to the Terms & Conditions of waitlist and enrolment (click to open terms in a new window)