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Home Services Early Learning Goulburn Family Day Care Enquiry Form
Early Learning

Early Learning

Anglicare

Early Learning

Home Services Early Learning Goulburn Family Day Care Enquiry Form

GOULBURN FAMILY DAY CARE ENQUIRY FORM

Please complete the form below to enquire about Family Day Care in Goulburn

Goulburn Family Day Care Enrolment Form

  • Date Format: DD slash MM slash YYYY
  • Date Format: DD slash MM slash YYYY

  • Child's Information

  • Date Format: DD slash MM slash YYYY

  • Parent's Information

  • Please select from the list below. If employed, please provide the name of your employer in the space below.
  • Please provide an secondary phone number that will help us contact you during daytime hours. Eg. home landline or work phone number.

  • Second Parent's Information

    Please complete the following details for the child's 2nd parent (if applicable).
  • Please select from the list below. If employed, please provide the name of your employer in the space below.
  • Please provide an secondary phone number that will help us contact you during daytime hours. Eg. home landline or work phone number.

  • Terms

  • I understand that submitting this form places my child on the waiting list for enrolment at the Anglicare centre I have selected. I understand that my child being placed on the waiting list does not guarantee a place by the date I stated as my preference. Places are offered when suitable vacancies arise. I understand that if my child has not been placed at the centre after 6 months on the waiting list, and I have not contacted Anglicare, my child will be removed from the waiting list.
  • This field is for validation purposes and should be left unchanged.
Anglicare acknowledges Aboriginal and Torres Strait Islander people as the Traditional Owners and Custodians of our land and seas. We acknowledge the history of this land and for the stories of resilience and survival which make up Indigenous Australia. We give thanks for Aboriginal Elders and Knowledge Keepers of every generation, including the many Aboriginal families and communities which contribute to the life of our region. Read more about our Reconciliation Action Plan.