Waiting List Form | Gorokan Preschool | Preschool Education | Gorokan

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Use tab to navigate through the menu items.

Join our Waitlist

We recommend joining our wait list as soon as possible. We are only able to accomodate 70 children per day and those places fill quickly.

Parents Full Name

Child's Full Name

Email

Phone

Child's Gender

Female

Male

Child's DOB

Address

Tick Preferred Days

Monday, Tuesday, Wednesday

Thursday, Friday

Does your child have any special needs, disabilities, allergies, or is there anything else you think we need to know?

Please tick any that apply to your child

Aboriginal or Torres Straight Islander descent

Have a disability

Families on Low Income

Non English Speaking

Socially Isolated

Single Parent Family

Concession or Healthcare Card Holder

Thanks for submitting!

8-12 Balmoral Drive, Gorokan

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