Online Waiting List Form Childs First Name * Middle Name Last Name * Gender * Date of Birth * Parent/Guardian Details #1 First Name * Last Name * E-mail * Home Phone * Mobile * Work Phone (if different from above) Address Parent/Guardian Details #2 First Name * Last Name * E-mail * Home Phone * Mobile * Work Phone (if different from above) Hours/Days Required: Please note that children eligible for school in the following year are given preference for enrolment at the preschool. Do you have a Low Income Health Care Card? (You will need to provide a copy of your HCC.) YesNo If Yes, Expiry Date: If Yes, Please upload a copy: Is your child’s immunisation up to date? (You will need to provide a copy of your child’s AIR Immunisation History Statement . They can be on a catch-up schedule and still be enrolled.) YesNo If Yes, Please upload a copy: Please tick your required days below * Gaaba Group 4-5 years: Monday/TuesdayGaaba Group 4-5 years: Thursday/FridayGaaba Group 4-5 years: Additional Day WednesdayWarrii Group 3-4 years: Monday/TuesdayWarrii Group 3-4 years: Thursday/Friday Enrolment for the year * Do you wish to be contacted in the year prior if a vacancy arises? * Is your child identified as Aboriginal or Torres Strait Islander? * Does your child have any additional needs or a disability? (eg learning difficulty, disability etc) Some priority is given to children with a disability. * If yes, please provide details: What languages are spoken at home? Please tell us about your cultural background Have any other siblings attended Valla Community Preschool? * If yes, please provide sibling name and year attended Is there any further information you would like to share with us? All applicants are entered on the waiting list and parents/guardians will be contacted in the year before their child is eligible to start. Parents and children will be invited to share an orientation session before the child starts at the preschool. If a vacancy arises during the year parents will be contacted in priority of access order to fill the vacancy.