Application Form

If you would like to join our waiting pool, please fill out this form. (Please do not expect to hear from us immediately - we will only be in touch once a suitable vacancy occurs.)

Child's name (Required)

Gender (Required)

The child's gender

boy
girl

Child's date of birth (Required)

/ /

Child's first language (Required)

Special diet

Does your child have any special dietary requirements or preferences?

Special needs

Does your child have any special educational or other needs?

Funding (Required)

If you have already obtained public funding, please specify if it is for full-time, part-time or other placement

Name of parent 1 / guardian 1 (Required)

Language of parent 1 / guardian 1 (Required)

Occupation of parent 1 / guardian 1 (Required)

Name of parent 2 / guardian 2

Language of parent 2 / guardian 2

Occupation of parent 2 / guardian 2

Contribution time (Required)

Are you able and ready to be involved in the running and activities of the Kita? How much of your time could you contribute per week?

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Kita Billabong

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Application Form