Enrolment form - Please answer all questions

Welcome to Almost French Kindergarten!
Before enrolling your child on the waiting list, make sure you read the information about the program available on the Almost French website.
A non-refundable fee of $20 is required to secure a place on the waiting list.
More details at the end of this form.

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* 1. Please indicate what year you would like your child to start the program (your child must turn 3 years of age before 30/4 to start that year):

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* 2. Program selection (please tick as many programs as you are interested in):

Port Melbourne program is held at Bubup Womindjeka Family And Children's Centre - 85 Liardet Street, Port Melbourne, Victoria, 3207

South Yarra program - 30 fitzgerald Street, South Yarra, Victoria, 3141

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* 3. If you have ticked more than one program, please let us know which one is your first preference (Grenouilles, Coccinelles, Papillons or/and Abeilles):

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* 4. If you have selected a two-day program at Port Melbourne (Thursday/Friday) or South Yarra (Thursday/Friday), please let us know if you would be interested by an extra day - on Wednesdays - at South Yarra (Les abeilles):

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* 5. Child's family name:

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* 6. Child's first name:

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* 7. Child's gender:

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* 8. What is your child's date of birth?

Date

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* 9. Address (street/city/postcode):

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* 10. Parent 1 - Full name:

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* 11. Parent 1 - Phone number (Mobile):

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* 12. Parent 2 - Full name:

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* 13. Parent 2 - Phone number (Mobile):

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* 14. Email:

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* 15. Siblings (name, gender and age - example: Alice, sister, 2):

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* 16. Did another sibling attend or has attended Almost French Kindergarten (please specify name and year):

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* 17. Language spoken at home:

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* 18. What is the level of French of your child?

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* 19. Is one of the parents/guardians from a French speaking country/background?

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* 20. Does your child has any medical conditions/special needs including allergies?

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* 21. If you answered 'Yes' to the previous question, please specify which condition(s) otherwise go to next question:

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* 22. Is your child toilet trained? (Only applicable to children who are currently 2 years old or older)

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* 23. Does your child attend another childcare/kinder program ?

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* 24. If you answered 'Yes' to the previous question, please specify which childcare/kinder?

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* 25. Please let us know if there is anything you would like us to know:

IMPORTANT: Please click on the 'DONE' button below to submit your application.

At this stage your child will be added to our waiting list. We will contact you in June/July before your child is due to start. Being on the waiting list does not mean your child will get a place into the program. A non-refundable fee of $20 is required to secure a place in the waiting list. Payment to be made within 3 days of completing this form to:
Account name: Almost French-Teaching & Exchange
BSB: 083004
Account number: 160873046 

Please note: Your child will only be added to the waitlist once your deposit is received. We will send you a confirmation once the deposit has been paid and received.

For any questions/comments regarding your application, please send an email to almostfrenchexchange@gmail.com or call Fanny on 0414 456 062.

Thank you for your application.

A bientôt!

T