Waiting List Application

Child Details

Family Name (required)

First Name (required)

Other

Date of Birth (or expected birth) (required)

Gender

Proposed Booking Details

Mon Tues Wed Thurs Fri
Arrive
Depart

From Date (required)

Are you happy to be flexible with the proposed days above?

If you need to, please provide more details

Parent Applying

Your Name (required)

Relationship to Child (required)

Address (required)

Phone

Mobile (required)

Email (required)

Please leave this field empty.

Additional Information

Special Needs

Details

Food Allergies

Details

Court Orders

Details

Toileting Information

How did you find out about Flinders University Childcare Centre?

Are you affiliated with the University?
Student:
Employee:

Access Guidelines

As a childcare service which receives childcare benefits from the Commonwealth Government, we abide by the priority of access guidelines set by the Department of Family and Community Services. Please see www.humanservices.gov.au for further information

I understand that to maintain this place on the waiting list, we need to contact the service at least every three months to confirm our continuing interest.