Enrolment Enquiries

Thank you for your interest in enrolling your child at Time-Out Child Care Centre. Please enter your details below.

* Required field

Location

Select your centre Doncaster East Northcote

Child Details

1st Child

Given Name/s *
Surname *
Date of Birth *
Commencement Date *
Please tick days required
Monday
Tuesday
Wednesday
Thursday
Friday

Are these days flexible?
Yes No

2nd Child

Given Name/s *
Surname *
Date of Birth *
Commencement Date *
Please tick days required
Monday
Tuesday
Wednesday
Thursday
Friday

Are these days flexible?
Yes No

3rd Child

Given Name/s *
Surname *
Date of Birth *
Commencement Date *
Please tick days required
Monday
Tuesday
Wednesday
Thursday
Friday

Are these days flexible?
Yes No

4th Child

Given Name/s *
Surname *
Date of Birth *
Commencement Date *
Please tick days required
Monday
Tuesday
Wednesday
Thursday
Friday

Are these days flexible?
Yes No

5th Child

Given Name/s *
Surname *
Date of Birth *
Commencement Date *
Please tick days required
Monday
Tuesday
Wednesday
Thursday
Friday

Are these days flexible?
Yes No

6th Child

Given Name/s *
Surname *
Date of Birth *
Commencement Date *
Please tick days required
Monday
Tuesday
Wednesday
Thursday
Friday

Are these days flexible?
Yes No

Parent / Guardian Details

Title
Given Name *
Surname *
Home Address
Postcode
Home Phone
Work Phone
Mobile Number *
Email

Comments

Your Comments

Medical Conditions and Special Needs

Does your child have any ongoing medical condition or additional need (so we can ensure that we will provide appropriate care).

Yes No

If yes, please provide details

How did you find out about Time-Out Child Care Centre

If other please specify

Note: Enrolment is subject to available places and should not be considered automatic upon submitting this request. A staff member from Time-Out Child Care Centre will contact you to confirm your child's place.

Time-Out Child Care Centre

Enrolment Enquiries

Location

Child Details

1st Child

Please tick days required

Are these days flexible?

2nd Child

Please tick days required

Are these days flexible?

3rd Child

Please tick days required

Are these days flexible?

4th Child

Please tick days required

Are these days flexible?

5th Child

Please tick days required

Are these days flexible?

6th Child

Please tick days required

Are these days flexible?

Parent / Guardian Details

Comments

Medical Conditions and Special Needs

How did you find out about Time-Out Child Care Centre