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Your selected centre(s)

The Joey Club Melbourne, MELBOURNE AIRPORT VIC 3045

Please complete the following form

CHILD DETAILS

PARENT/CARER DETAILS

Parent/Carer 1

Please provide your home/mobile number

Parent/Carer 2

ENROLMENT PREFERENCES

Preferred days of enrolment

ADDITIONAL INFORMATION

(This information is collected to determine priority of access according to Government Legislation and operational policy)

If you have an NDIS plan/number, please provide

The Joey Club – additional information to assist in determining priority of access

Shift Work (The Joey Club Melbourne and The Joey Club Brisbane ONLY)

If you are a shift worker, then please estimate how frequently you might need care for your child/ren, should care not be required on a regular weekly basis. Please specify the following:

The number of days above. Is that per week, per fortnight, or something else?

Waiting list forms may also be allocated priority for:

  • A Qantas employee’s Return to Work date following parental leave.
  • Family circumstances, e.g. child or family with additional needs, multiple children, i.e. twins or triplets, or another child under 6 years, one parent family etc.

In order for KU Children’s Services to assess your waiting list form for a place at The Joey Club, please complete the details below.

Employment Details

PARENT/CARER NO.1

Employment arrangement

Please specify if you choose "Other" in your employment arrangement

Return to work date following parental leave or Return to work date following parental leave or envisaged date

By inserting your name here, you confirm that the information provided is true and accurate.

PARENT/CARER NO.2

Employment arrangement

Please specify if you choose "Other" in your employment arrangement

Return to work date following parental leave or envisaged date

By inserting your name here, you confirm that the information provided is true and accurate.