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 Building Blocks Early Childhood Learning Centres

JOIN OUR WAITING LIST

We are inviting you to place your child on our waiting list for placement within one of our Centres. Please complete the Waiting List Application below. For families who are seeking an immediate start please call our team on 1300 BB KIDS (1300 22 5437) or speak to the Centre Director at the Centre of your interest directly.

Filling this out places you on our waiting list and does not necessarily mean your child will become enrolled in our service. All waiting list applicants are required to pay a $100.00 application fee. This $100.00 is to secure your position on the waiting list at the centre. Upon commencement of enrolment, this fee will be deducted from the Initial Payment. For more information on the Waiting List see our TERMS AND CONDITIONS. Payment options become available after you submit your application.

Waiting List Form

Start Date
Centre
How did you hear about Building Blocks?
Do you belong to a mothers group or social group?
(If so please give name and contact details)
Name
Contact details
Does your child receive care in any other service?

Child’s Details
Family name
Child’s name
Gender
Date of birth
Place of birth
Country of birth
Street address
Suburb/town
State
Postcode
Email
Home phone
Mobile
Religion
Language
Cultural background
Legal guardian
Do you have a sibling or have had a child previously enrolled at this centre? Yes No
Special needs or Disabilities
CRN: (if known)
Does your child have a communicable disease?

Attendance Requested

Please tick the days of service requested. Please also provide the hours of care required. The centre opening hours are from 7am to 6.30pm. You should note that the days requested and hours requested will be offered based on availability & subject to regulated staff & child ratios.
 MondayTuesdayWednesdayThursdayFriday
Please Tick Days Required
Start Time Requested
Finish Time Requested

Parent Details

  
Family name: Parent 1 Parent 2
First name: Parent 1 Parent 2
Address: Parent 1 Parent 2
Suburb/state/postcode: Parent 1 Parent 2
Home phone number: Parent 1 Parent 2
Work phone number: Parent 1 Parent 2
Mobile phone number: Parent 1 Parent 2
Email address: Parent 1 Parent 2
Relationship to child: Parent 1 Parent 2
Date of birth: Parent 1 Parent 2
CRN: Parent 1 Parent 2
Relationship status: Parent 1 Parent 2
Primary language spoken: Parent 1 Parent 2
Nationality: Parent 1 Parent 2
Occupation: Parent 1 Parent 2
Place of employment: Parent 1 Parent 2
Working status
(full time, part time, casual)		 Parent 1 Parent 2
Usual hours of work: Parent 1 Parent 2
Address of employer: Parent 1 Parent 2
Suburb/state/postcode: Parent 1 Parent 2


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