1. { binding displayValue, mode=oneTime }

Our Registration Process

 

  • Complete the registration of interest form below.
  • A member of our management team will contact you to give you more information, organise a tour of our centre and answer any questions you may have.
  • If after the tour you are interested in enrolling your child/children, a one off non-refundable administration fee of $50 is payable and you will be placed on our waitlist.
  • By submitting your registration of interest form you are accepting that our communication with you will be via e-mail.
  •  If you have not heard from the centre within a week, please call or email to confirm the status of your registration.

Child Details

Child {binding ItemNumber}

Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
Days of Care Required {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }

Required Care

{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }

Parent / Guardian Details

Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }

Our Registration Process

 

  • Complete the registration of interest form below.
  • A member of our management team will contact you to give you more information, organise a tour of our centre and answer any questions you may have.
  • If after the tour you are interested in enrolling your child/children, a one off non-refundable administration fee of $50 is payable and you will be placed on our waitlist.
  • By submitting your registration of interest form you are accepting that our communication with you will be via e-mail.
  •  If you have not heard from the centre within a week, please call or email to confirm the status of your registration.

Child Details

Child {binding ItemNumber}

Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Birth Date {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Days of Care Required {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }

Required Care

Date Child Care Needs to Commence {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Reason for Care {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{ binding firstError.message }

Parent / Guardian Details

Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{ binding firstError.message }
Cognito Forms{{ Cognito.resources["powered-by-cognito"] }}