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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of
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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of
Additional Information
What year does this registration apply for?
*
2024
2025
Would you prefer 2 or 3 days of care?
*
2 Days
3 Days
2 or 3 Days
Has your child had, or have a sibling attend this preschool?
*
Yes
No
Name/s and Year/s attended
eg. Sally Smith, 2010
Is your family a holder of a Low Income Health Care Card?
*
Yes
No
Health Care Number
*
Health Care expiry date
*
-
Day
-
Month
Year
Please attach a copy
*
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Cancel
of
Does your child require early intervention support?
*
Yes
No
If yes, please specify:
*
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
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
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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