Waiting List Application

Clayfield Pre-prep, Bayview Terrace is affiliated with the C&K Association. Children will attend a Pre-prep program for a five day fortnight, being Monday and Tuesday with an alternating Wednesday, or a Thursday and Friday with an alternating Wednesday, from 8.30am to 2.40pm. This is a four term year for one year only.

Our Pre-prep curriculum runs an innovative, comprehensive educational program, incorporating indoor and outdoor play. Building Waterfalls 2 (C&K Curriculum), The Early Years Learning Framework, and the Queensland Kindergarten Guidelines, provide insights, understandings and guidelines for our curriculum decision making. Our aim is to provide children with a stimulating and challenging environment, providing a secure footing for children to reach their full potential.

DATE: ______

CHILD’S FULL NAME: ______

DATE OF BIRTH:______MALE/FEMALE: ______

ADDRESS: ______

POST CODE: ______HOME PHONE:______

EMAIL:______

I AM APPLYING TO ENROL MY CHILD FOR: ______(Year of Entry)

WOULD YOU CONSIDER NOMINATING FOR A POSITION ON COMMITTEE IN THE YEAR YOUR CHILD ATTENDS? YES ______NO______

PARENT/GUARDIANPARENT/PARTNER

Name: ______Name: ______

Occupation: ______Occupation:______

Tel (Work) ______Tel Work)______

Mobile: ______Mobile: ______

Does your child have any special needs/requirements?

Yes______No______Comment______

If yes, please attach details on a separate page and copies of reports, etc.

Has your child attended any specialist agencies? (eg. Speech or Occupational therapy)

Yes ______No ______Comment______

If yes, please attach copies of relevant reports, assessments, etc._

Are there any special requirements for medical treatment/special needs or disability?

Yes______No______Comment______

Please attach reports if relevant.

IMPORTANT NOTICE

Being on the waiting list does not guarantee enrolment.

NOTE: We cannot be responsible for locating you if you change any contact details. It is your responsibility to notify the centre of any changes to your original application. This application form must be accompanied by a $40 non-refundable application fee. A receipt will be given to you as proof of your application. Please keep itfor your records.

PARENT’S SIGNATURE: ______DATE: ______

Birth Date / Year eligible to start Pre-prep
1/7/11 – 30/6/12 / 2016
1/7/2012 – 30/6/13 / 2017
1/7/2013 – 30/6/14 / 2018

Payment of $40 waiting list fee can be made using the following:

  1. A cheque made out to Clayfield Pre-prep, Bayview Terrace.
  2. Cash paid directly to the centre
  3. Via internet transfer

Account Name – Clayfield Pre-prep, Bayview Terrace

BSB – 064-106

Account No – 00090014

Reference – Please use your child’s name as the reference.

We will send receipt of payment to your email address.

______

Office use only Date application received: ______

Receipt No: ______Signature: ______