Name: KU Children's Services
Price range: $

Your selected centre(s)

KU West Pymble Preschool, WEST PYMBLE NSW 2073

Change or add centres

Please complete the following form

Centre Clients

[Hidden field] community groups, separated by "|" Warning: removing this field will break the form

Centre Names

[Hidden field] List of cc email address from each centre user applied. Warning: removing this field will break the form

CHILD DETAILS

Child's family name *

Child's first name *

Child's date of birth / expected date of birth *

Child's street address *

Child's suburb *

Postcode *

PARENT/CARER DETAILS

Parent/Carer 1

Family name *

First name *

Street address *

Suburb *

Postcode *

Date of birth *

Contact Number *

Please provide your home/mobile number

Email *

What is your relationship to the child?

Parent/Carer 2

Family name

First name

Street address

Suburb

Postcode

Date of birth

Contact number

What is your relationship to the child?

ENROLMENT PREFERENCES

Preferred commencement date

Any other comments

ADDITIONAL INFORMATION

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

Please provide details

NDIS plan/number

If you have an NDIS plan/number, please provide.

Westpac Group – additional information to assist in determining priority of access

For employees of Westpac Group ONLY (KU Kogarah Children’s Centre)

Employee number

Which of the following applies to you?

Employed under an ongoing employment arrangement

Employed under a fixed term employment arrangement

Have another child/children occupying a place within the Centre

End of term date

Please specify your end of term date if you are under a fixed term employment arrangement.

For community applicants

Commonwealth Bank – additional information to assist in determining priority of access

For Employees of the Commonwealth Bank Group ONLY

If you are an employee of the Commonwealth bank Group, please complete section ‘for employees of the Commonwealth Bank Group’ below.

If answered ‘none of the above’, what is the current employment status of Parent/Carer No.1?

Which of the following applies to you?

Please tick all that apply

Requiring care as you do not have permanent childcare arrangements in place

Requiring care for a grandchild who does not have permanent childcare arrangements in place

Have another child/children occupying a place within the centre

Have another child/children occupying a place within a CBA KU Managed centre

Returning from parental leave

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

Student of the University of Sydney Undergraduate

Student of the University of Sydney (Post Graduate)

Employee of the University of Sydney Union

University of Sydney employee

The Treehouse – additional information to assist in determining priority of access

Please note

Access to care at the centre will be assessed according to Treehouse Priority of Access and the Federal Government’s Child Care Subsidy (CCS) Access Guidelines:

Stockland employees
Length of time on Wait List
Community

Outside School Hours Care – additional information

What year will your child be commencing school?

What grade will your child be commencing school?

What school will they be attending?

Alfred Child Care Centre – additional information

Are you an employee of The Alfred Hospital?

Yes

University of Newcastle – additional information

Which of the following applies to you?

Please tick all that apply

Employee of the University of Newcastle

Student of the University of Newcastle

Neither

Add me to waiting list

Your selected centre(s)

Please complete the following form