PLASP Pre-Registration for 2013/2014 School Year

In completing this form, your request will be placed in priority sequence on a first come first serve basis for PLASP programs. You will be contacted via email regarding this request.

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* 1. Please complete the following

Parent/Gaurdian Name: *

Address: *

Address 2:

City/Town: *

Postal Code:

Email Address: *

Daytime Phone Number: *

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* 2. Enter your child's first name

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* 3. Enter your child's last name

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* 4. Enter your first child's birthdate

Date

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* 5. In September 2013, what school is your first child enrolled to attend?

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* 6. Please check the program/s in which you wish to enrol your first child

Early Learning and Child Care Centres

Before School

After School

PA Days

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* 7. Enter your second child's first name.

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* 8. Enter your second child's last name.

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* 9. Enter your second child's birthdate

Date

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* 10. In September 2013, what school is your second child enrolled to attend?

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* 11. Please check the program/s in which you wish to enrol your second child

Early Learning and Child Care Centres

Before School

After School

PA Days

Thank you for completing PLASP's Pre-Registration Form. By clicking DONE, your request will be placed in priority sequence on a first come first serve basis.

We will contact you by email with further information.

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