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SECTION 1

Questions 1 – 10

Complete the form below.

Write ONE WORD AND/OR A NUMBER for each answer.

Early Learning Childcare Centre

Enrolment Form

1. Personal Details
  • Child’s name: Kate
  • Age:
2.
  • Phone: 3345 9865
  • Address:Road, Woodside, 4032
3. Childcare Information
  • Days enrolled for: Monday and

4. Start time:

am

5. Childcare group: the

group

6. Which meal/s are required each day?

7. Medical conditions: needs

8. Emergency contact: Jenny

Phone: 3346 7523

9. Relationship to child:

10. Fees
  • Will pay each

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