Application Form Child’s details Child’s names * First Last Usual name * Date of birth * Gender Male Female Address * Parents’ details First parent’s name * Email * Phone * Second parent’s name Email Phone Other details Please give details of the child’s place in the family (how many siblings, of what ages) * Please give details of preschools previously attended, with dates (starting with the most recent) * Does your child have any special educational needs (including allergies, medication or diet)? * How and where did you hear about our kindergarten? What has lead you to apply? * Proposed date of entry * Submit
