Enrolment Form

Please download and fill out the Enrolment Form or fill in the online form below and submit. Please note that an enrolment form is only required if you have been offered a place at Camp Hill Kindy. To apply for an enrolment, please complete our Waiting List Form or Contact Us.

Download the Enrolment Form

Childs Details

Name

Date of Birth

Home Address

Culture

Primary Home Language

Any Special Food Requirements

Any Regular Medication

Any Cultural Needs

Parent/Guardian Details

Name

Home Address

Mobile Phone

Home Phone

Work Phone

Email Address

2nd Parent/Guardian Details

Name

Residential Address

Mobile Number

Home Phone

Work Phone

Email Address

Child's Doctor

Doctor's Phone Number

Child's Dentist

Dentist's Phone Number

Other persons authorised to collect child (not parents/guardians)

1. Name

Mobile Number

Relationship to Child

2. Name

Mobile Number

Relationship to Child

Permission for Treatments

Treatments

Lifesaving Epipen

Asthma Medication

SPF 50+ broad spectrum water resistant sunscreen

Insect Repellent

Bandaids

Topical Treatments

Paracetamol

External Videos and Photos

I give my permission to administer the above treatments

Yes

Immunisation

Child is fully immunised

Yes No

Custody Details

There is a court order affecting the child and recorded on service file

Yes No

Enrolment Form

Childs Details

Parent/Guardian Details

2nd Parent/Guardian Details

Other persons authorised to collect child (not parents/guardians)

Permission for Treatments

Immunisation

Custody Details

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