Phone: (03) 6229 6070
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Phone: (03) 6229 6070
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Waiting List
Complete this form and press the ‘submit’ button to be added to our waiting list.
Care Required
Days required
Monday
Tuesday
Wednesday
Thursday
Friday
Your Preferred Start Date
*
Reason for Care
Are both Parents/Guardians working/studying?
*
Yes
No
Does your child already access care?
*
Yes
No
Child Details:
Child's First Name
*
Child's Last Name
*
Child's Date of Birth
*
Child's Gender
Male
Female
Other
Parent / Guardian Details:
Parent / Guardian 1
Surname
*
First Name
*
Email Address
Relationship to Child
*
Home Address
*
Postal Address
(same as home address)
Occupation
Employer / place of study
Home Phone:
*
Work Phone:
Mobile Phone:
Do You need to Enter Details for Parent 2?
Yes
no
Parent / Guardian 2
Surname
Given Names
Email Address
Relationship to Child
Home Address
Postal Address
(same as home address)
Occupation
Employer / place of study
Home Phone:
Work Phone:
Mobile Phone:
Additional Information:
Would you like a tour of our center?
Yes
No
Please enter any additional information that you think might help us here.
Kingston Beach Early Learning Centre
46 Beach Road
Kingston Tas 7050
Contact Us
phone: (03) 6229 6070
email: info@kbelc.org.au
Our Centre Hours:
Monday to Friday 7:15am - 6:15pm
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