Waiting List Application – Lennox Head Pre School

Important Information

All children are required to have up to date immunisations. these will be requested Upon Enrolment

The Preschool implements zone eligibility for enrolment. Please read the waiting list prior to completing this form.

Waiting List Policy (Click this link to view)

By completing this form you are confirming you have read this Waiting List Policy. (It is a requirement this is read prior to the submission of ALL applications)

Child's Name*

First Last

Date of Birth*

Gender*

Male
Female

Address*

Street Address

What school are you considering for your child to attend?*

Does your child have any health problems, developmental delays or disability? and/or any family history of? Or do you have any information that needs to be considered for your enrolment?*

Is your family?*

Aboriginal or Torres Strait Islander background?
Non-English speaking background?
Low Income Health Care/Pension or Veteran Affairs Card
Non of the above

please check box if answer is yes

Does your child have any older siblings who have or may attend Lennox Head Community Preschool?*

Yes
No

Does your child have any older siblings who have or may attend Lennox Head Community Preschool before their attendance?*

Yes
No

PARENTS DETAILS

Parent/Gaurdian 1 (Primary Contact for position)*

First Last

Parent/Gaurdian 2*

First Last

Mobile Phone Number (Primary Contact)*

Primary Email Contact*

Enter Email Confirm Email

Birth Certificate

To confirm your waiting list application we need a copy (photo or scanned) of the child's birth certificate. (Due to problems uploading and file sizes, you can now email the birth certificate if you are having trouble attaching) PLEASE NOTE: WAITING LIST APPLICATIONS WILL NOT BE ELIGIBLE UNTIL THE BIRTH CERTIFICATE IS RECEIVED. mail@lennoxheadcommunitypreschool.com.au

Confirmation of Submission

Once you have submitted your application you will receive a copy of your application via email (to the email address you have provided above). Please check your spam folder if it does not automatically go to your inbox.