WAVELL HEIGHTS Waiting List Wavell Heights Waiting List Updates Part 1 Parent / Guardian One First NamesFamily NameDate of BirthPhoneEmailRelationship to child/renStreet AddressSuburbPostcodeOccupationCRN (if known)Due to government regulations, priority of places must be allocated according to a list of needs. As these are a "rough" order of priority, please tick only one box. Child/ren are at risk of abuse and being referred by State Government (Highest Priority/ ONE) Both (or sole parent) are working, seeking work, studying or training. (Priority TWO) A parent of child in the family has a disability. (Priority THREE) A parent (not working) has been encouraged by a doctor or counsellor to seek respite care (Priority THREE) There are number of young children in the home (Priority THREE) The family is seeking and educational program for a young child. (Priority THREE)How did you find out about Building Futures Montessori ?Add Another Parent or Guardian ? Yes No Parent / Guardian Two Does this Parent or Guardian live with the child/ren ? Yes NoFirst NamesFamily NameDate of BirthPhone EmailRelationship to child/renOccupationStreet AddressSuburbPostcodeHow often is the child/ren at this address?Is this Parent or Guardian authorised to collect ? Yes NoPart 2How many children would you like to enrol? 1 2 3 Child One First NamesFamily NameGender of Child Male FemaleDate of BirthNumber of Days Required 1 2 3 4 5Days RequiredMondayTuesdayWednesdayThursdayFridayCRN (if known)Preferred Start Date Child Two First NamesFamily NameGender of child Male FemaleDate of BirthNumber of Days Required 1 2 3 4 5Days RequiredMondayTuesdayWednesdayThursdayFridayCRN (if known)Preferred Start Date Child Three First NamesFamily NameGender of child Male FemaleDate of BirthNumber of Days Required 1 2 3 4 5Days RequiredMondayTuesdayWednesdayThursdayFridayCRN (if known)Preferred Start DateSubmit Form
