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Your selected centre(s)

KU Union, DARLINGTON NSW 2008

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

Sydney University – additional information to assist in determining priority of access

KU Carillon Avenue Children’s Centre and KU Union Children’s Centre ONLY

Which of the following applies to you?

Please tick all that apply