Waitlist Application Form

A non-refundable waiting list fee of $25 is required upon application. Payment can be made by cash, cheque(made payable to Albert Waterways Children's Centre) or direct debit transfer into our bank account: Name: Albert Waterways Children's Centre BSB: 484 799, Account No: 605 570 166. Please use your child's name as a reference.

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Child's Name:*

Date of Birth:*

Address:*

Post Code:*

Parents Name:*

Email Address:*

Work Phone:

Mobile Phone:*

Preferred Start Date:*

Days Required, please click the days you would like your child to attend:*

Monday Tuesday Wednesday Thursday Friday

Comments eg preferred days, siblings at centre, work/study commitments etc:

Priority of ACCESS, The Commonwealth Government provides a priority of access guidelines to all Long Day Care Centres in Australia. Please select which category your family fits into:*

Priority One - A child at risk of serious abuse or neglect
Priority Two - A child of a single parent who satisfies, or parents that both satisfy, the work/training/study test under section 14 of the Family Assistance Act. That is, working(including as a carer) seeking employment, studying or training or on leave related to employment
Priority Three - Any other child. For example a child whose parents have chosen to stay at home.

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