Calrossy Preschool

Calrossy Preschool

Waitlist Form
Deferral Form
Program Type
Child's Name

First nameLast name
Gender
Child's date of birth

DayMonthYear
Parent / Guardian 1

First nameLast 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

CityState / Province

Postal / Zip Code
Preferences for Care
Our preschool is licensed for 25 children between the ages of 3 and 5. We are open 8:30am-4pm during school terms. We have two groupings: Monday and Tuesday (Junior Preschool) for 3-4year olds and Wednesday-Friday (Senior Preschool) for 4-5 year olds being the year before school. There is a minimum 2 day enrolment required.
What year does this registration apply for?
Preference One
Preference 1
Preference 2
Preference 3
Additional Information
Does your family hold one of the following concession cards?
Health Care Number
Health Care expiry date

DayMonthYear
Please attach a copy of the Health Care Card

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Pensioner Concession Card Number
Pensioner Concession Card expiry date

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Please attach a copy of the Pensioner Concession Card

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Department of Veterans Affairs Number
Department of Veterans Affairs expiry date

DayMonthYear
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Does this child identify as Aboriginal / Torres Strait Islander?
Does your child have any additional needs?
If yes, please specify:

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Which of the following relevant professionals made the assessment?
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?
NDIS Number:
Will your child require additional support in understanding and communicating in English language at preschool?
Language used by your child (other than English):
Is your child at risk of harm?
Does this child have a sibling who has previously attended this preschool?
Please enter sibling details (First Name, Last Name, Year of Attendance)
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Payment Name
Amount
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Program type
31July in year of commencement
31 July in year of commencement convert to date format

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Date
Age at 31July starting year
ATSI Output
HCC Output
PCC Output
DVA Output
Concessions Calculator
Concessions
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payment_payrix
Current Date

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Date
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Preferences for Care

Additional Information