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1. About your Child

Name*

First Middle Last

Gender*

Male
Female
Other

Date of Birth*

Residential Address*

Street Address Suburb State Postcode

2. Enrolment Details - New Horizons Preschool LENAH VALLEY

Enrolment Year*

Please select the year your child is 3 years of age AT THE START of the school year. Early entry for children turning 3 during Term 1 (February–April) is subject to availability and only offered if there is no existing waitlist of children who have already turned 3.

Attendance Schedule*

Please note that we do not offer full-time (5-day) enrolments. Families can choose from the following structured options:

2 Day attendance (Mondays to Tuesdays)
2 Day attendance (Thursdays to Fridays)
3 Day attendance (Mondays to Wednesdays)
3 Day attendance (Wednesdays to Fridays)
4 Day attendance (Mondays, Tuesdays, Thursdays, Fridays)

3. Parent/Guardian Information

Parent/Guardian 1

Name*

Prefix First Last

Resides with Child?*

Yes
No

Residential Address*

Street Address Suburb Statee Postcode

Mobile Phone*

Email*

Please ensure that you have correctly entered your email address, as this is our PRIMARY mode of communication. Correspondence from New Horizons Preschool may appear in your spam folder.

Relationship to Child*

Occupation

Place of Employment

3a. Parent/Guardian Information

Parent/Guardian 2

Name

Prefix First Last

Resides with Child?

Yes
No

Residential Address

Street Address City State / Province / Region ZIP / Postal Code

Mobile Phone

Email

Please ensure that you have correctly entered your email address, as this is our PRIMARY mode of communication. Correspondence from New Horizons Preschool may appear in your spam folder.

Relationship to Child

Occupation

Place of Employment

6. Priority of Access

New Horizons Preschool follows the Priority of Access guidelines determined by the Australian Government. These guidelines set out levels of priority which services must follow when filling vacant spaces. The information requested below enables us to follow these guidelines correctly.

Child's Priority Area*

Priority 1 - child at risk of serious abuse or neglect
Priority 2 - child from a family that satisfies the work / training / study test
Priority 3 - any other child

my child is from (if applicable):

an Aboriginal or Torres Strait Islander Family
a family on a lower income
a socially isolated family
a family which includes a disabled person
a culturally & linguistically diverse family
a single parent family

7. Declaration

I/We declare that all information provided in this application is accurate. I agree to notify New Horizons Preschool immediately should there be any change to this information. In the event of a place being offered to my child, I agree to adhere to the conditions of enrolment, procedures and practices of New Horizons Preschool, and the responsibility for paying fees as they fall due.

New Horizons Preschool – Lenah Valley

waitlist application form