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* 1. Contact Information

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* 2. Please enter the date you would like care to begin

Date

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* 3. Child's Name (if known)

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* 4. Please enter your child's date of birth

Date

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* 5. Gender of child?

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* 6. If we are unable to provide you a space in our before and after school kindergarten program would you like to remain on the list for a school age space? Please note that you must live within the boundaries of Orde Public School to be eligible to attend the school.

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* 7. You understand that we give priority to families who reside in the boundaries of Orde Public School

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* 8. You understand that if we should contact you for a space we request that you respond within 48 hours of receiving an email from the centre offering you space. If you do return our email we will remove you from our waiting list

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