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CONTACT US

9484 1133
phwmcc@iinet.net.au
3-7 Shields Lane
Pennant Hills NSW 2120

2021 New Children Enrolments

Please fill this form out only if you have been contacted and asked to do so. If you have not been contacted by email and asked for your preferences for next year, it means we are not down to your child's name on the waiting list yet.

Please indicate if you are requiring a position at Preschool next year.

It is important that you choose your TOP THREE Preferences for days of attendance.

Please submit this form by Friday 12th June 2020

Details of Child

Name of Child *

First

Last

Date of Birth *//

Details of Parent / Legal Guardian

Name of Parent / Legal Guardian *

First

Last

Best contact phone number *

Email *

Copy of this document will be sent to this email address

I will or will not be requiring a position at Preschool in 2021 for my child *

Yes, I will require a position
No, I do not require a position - please take my child's name off the waiting list
I wish to remain on the waiting list, and defer the position until 2022. (I understand I will be contacted again in May 2021)

First Choice - Class 2021 *

Select this option for the first choice in class 2021

Second Choice - Class 2021 (1st - Mon/Tue) *

Select this option for the second choice in class 2021

Second Choice - Class 2021 (1st - Mon/Tue/Wed) *

Select this option for the second choice in class 2021

Second Choice - Class 2021 (1st - Thurs/Fri) *

Select this option for the second choice in class 2021

Second Choice - Class 2021 (1st - Wed/Thurs/Fri) *

Select this option for the second choice in class 2021

Third Choice - Class 2021 (1st-Mon/Tue, 2nd-Mon/Tue/Wed) *

Select this option for the third choice in class 2021

Third Choice - Class 2021 (1st-Mon/Tue, 2nd-Thurs/Fri) *

Select this option for the third choice in class 2021

Third Choice - Class 2021 (1st-Mon/Tue, 2nd-Wed/Thurs/Fri) *

Select this option for the third choice in class 2021

Third Choice - Class 2021 (1st-Mon/Tue/Wed, 2nd-Mon/Tue) *

Select this option for the third choice in class 2021

Third Choice - Class 2021 (1st-Mon/Tue/Wed, 2nd-Thurs/Fri) *

Select this option for the third choice in class 2021

Third Choice - Class 2021 (1st-Mon/Tue/Wed, 2nd-Wed/Thurs/Fri) *

Select this option for the third choice in class 2021

Third Choice - Class 2021 (1st-Thurs/Fri, 2nd-Mon/Tue) *

Select this option for the third choice in class 2021

Third Choice - Class 2021 (1st-Thurs/Fri, 2nd-Mon/Tue/Wed) *

Select this option for the third choice in class 2021

Third Choice - Class 2021 (1st-Thurs/Fri, 2nd-Wed/Thurs/Fri) *

Select this option for the third choice in class 2021

Third Choice - Class 2021 (1st-Wed/Thurs/Fri, 2nd-Mon/Tue) *

Select this option for the third choice in class 2021

Third Choice - Class 2021 (1st-Wed/Thurs/Fri, 2nd-Mon/Tue/Wed) *

Select this option for the third choice in class 2021

Third Choice - Class 2021 (1st-Wed/Thurs/Fri, 2nd-Thurs/Fri) *

Select this option for the third choice in class 2021

Do you have any concerns about your child's development? *

Yes
No
Not sure

Examples: speech. social, physical, behavioral, premature birth etc?

Received assessment or support?

My child has had a developmental assessment from a Paediatrician, Speech Therapist or Occupational Therapist etc?
My child is receiving support from an Early Intervention Service,

Please outline briefly about your child's development

It is important to provide us with a copy of their latest assessment. We will then organise a meeting with you to discuss your child's needs, enabling us to best place your child and, if necessary, to provide additional support.

Does your child have any serious ongoing medical condition? *

Yes
No

Examples: Asthma, Anaphylaxis, Diabetes, Epilepsy etc?

Please specify briefly about your child's ongoing medical condition

It is important to provide us with a copy of their latest assessment. We will then organise a meeting with you to discuss your child's needs, enabling us to best place your child and, if necessary, to provide additional support.

Other comments

Attendance days required due to work commitments, friends attending if you would like them to be in the same class etc

Signature *

To confirm your position:
After submitting this form, you will receive a $300 invoice for the 2021 deposit (Advance Part Payment) and this is due by Wed 1st July 2020. This payment is required to confirm your position for 2021 and it will be deducted from your 2021 Term 4 fees (NOT TERM 1).

Cancellations & Refunds:
All cancellations must be in writing, either in hard copy or via email. If cancelling before Friday 18th September 2020, you will be refunded HALF the deposit. Cancellation after Friday 18th September 2020 will result in forfeiting ALL of the deposit.

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