Hunters Hill Preschool
Waitlist Form
Deferral Form
Yes
Program Type
Child's Name
*
First name
Last name
Gender
*
Male
Female
Child's date of birth
*
-
Day
-
Month
Year
Please attach proof of age
*
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Parent / Guardian 1
*
First name
Last name
Phone Number
*
Email
*
Please note: you will be notified of all correspondence via email. This email will be used for all future correspondence unless otherwise advised.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please provide proof of address
*
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Additional Information
What year does this registration apply for?
*
2025
2026
Would you prefer 2 or 3 days of care?
*
2 Days
3 Days
2 or 3 Days
Has your child had a sibling or parent attend this preschool?
*
Yes
No
Name/s and Year/s attended
eg. Sally Smith, 2010
Does your family hold one of the following concession cards?
Health Care Card (Where the child is named as a dependent)
Pensioner Concession Card (Where the child is named as a dependent)
Veteran Card
Health Care Number
*
Health Care expiry date
*
-
Day
-
Month
Year
Please attach a copy of the Health Care Card
*
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Pensioner Concession Card Number
*
Pensioner Concession Card expiry date
*
-
Day
-
Month
Year
Please attach a copy of the Pensioner Concession Card
*
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Department of Veterans Affairs Number
*
Department of Veterans Affairs expiry date
*
-
Day
-
Month
Year
Please attach a copy of the Veterans Card
*
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Does your child require early intervention support?
*
Yes
No
If yes, please specify:
*
Does your child have any additional needs?
*
Yes
No
If yes, please specify:
*
0/255
Which of the following relevant professionals made the assessment?
*
Please Select
General Practitioner (GP)
Early childhood teacher or primary teacher with an additional qualification in Special Education
A professional qualified to administer psychometric assessments
Audiologist
Occupational therapist
Paediatrician
Psychiatrist
Registered psychologist
Speech pathologist
Other
If 'Other', please provide the profession
*
Please attach a copy of the assessment or letter
*
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Does your child have a NDIS number?
*
Yes
No
NDIS Number:
*
Does this child identify as Aboriginal / Torres Strait Islander?
*
Aboriginal
Torres Strait Islander
Both Aboriginal and Torres Strait Islander
None of the above
Language/s spoken at home:
Will your child require additional support in understanding and communicating in English language at preschool?
*
Yes
No
Language used by your child (other than English):
*
Please Select
Aboriginal and Torres Strait Islander Languages & Dialect
Augmentative and Alternative Communication (ACC) (Such as Auslan, Key Word Sign systems, or Gestures)
Mandarin
Arabic
Cantonese
Vietnamese
Filipino/Tagalog
Hindi
Spanish
Greek
Nepali
Italian
Other
Please Specify
*
0/250
Is your child at risk of harm?
*
Yes
No
convert year to yyyy-mm-dd
conver to date format
-
Year
-
Month
Day
Date
Age at 28Jan starting year
Program type
*
3 and 4 Year Old Kindergarten
What program type is this application relevant to?
*
Preschool Eligible
School Eligible
Not eligible
Which group will this child be allocated to?
3 days - Lilly Pilly
3 days - Blue Gum
3 days - Wattle
2 days - Lilly Pilly
2 days - Blue Gum
2 days - Wattle
Preference 2
3 days - Lilly Pilly
3 days - Blue Gum
3 days - Wattle
2 days - Lilly Pilly
2 days - Blue Gum
2 days - Wattle
Preference 3
3 days - Lilly Pilly
3 days - Blue Gum
3 days - Wattle
2 days - Lilly Pilly
2 days - Blue Gum
2 days - Wattle
Waitlist Fee
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( X )
Non-refundable enrolment application fee
$
50.00
AUD
Total
$
0.00
AUD
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Suppress Notifications?
*
Please Select
Yes
No
Please verify that you are human
*
Submit
Payment Name
Amount
Payment Type
Credit Card
Direct Deposit
Payment Reference Number
alreadyPaid
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Concessions
Aboriginal or Torres Strait Islander
Bridging visa A-E for humanitarian or refugee visa
Commonwealth Health Care Card
Commonwealth Pensioner Concession Card
Current or expired ImmiCard
Department of Veterans Affairs (DVA) Gold Card or White Card
Emergency Rescue visa (subclass 203)
Global Special Humanitarian visa (subclass 202)
Humanitarian Stay visa (subclass 449)
In-country Special Humanitarian visa (subclass 201)
Protection visa (subclass 866)
Refugee visa (subclass 200)
Safe Haven Enterprise visa (subclass 790)
Temporary Humanitarian Concern visa (subclass 786)
Temporary Protection visa (subclass 785)
Triplets or Quadruplets
Woman at risk visa (subclass 204)
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