Application Form - Bayside Playhouse and Occasional Care

Bayside Playhouse and Occasional Care
Please enter your details below to join about our waitlist. Upon submission of this form there is a non refundable application payment of $20.
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Deferral Form

Yes
Child's Name*

First NameLast Name
Gender*

MaleFemaleUnspecified
Child's Date of Birth*

DayMonthYear
Address*

Street Address

Street Address Line 2

CityState

Post Code
Parent / Guardian 1*

First NameLast Name
Relationship to the child*
Address

Same as childDifferent address
Address*

Street Address

Street Address Line 2

CityState

Post Code
Phone Number*
Email*
Please Note: You will be notified of all correspondence via email
Would you like to add a second parent / guardian?

YesNo
Parent / Guardian 2

First NameLast Name
Relationship to the child
Address

Same as childDifferent address
Address

Street Address

Street Address Line 2

CityState

Post Code
Phone Number
Email
Please Note: You will be notified of all correspondence via email
Language/s spoken at home:
What year would you like your child to commence at Bayside Playhouse and Occasional Care? *
Program Preferences
What program type is this application relevant to? *

Bayside Playhouse and Occasional Care