Copy of 3YO

3 Year Old Enrolment Form

Child Details

If postal address is other than residential, please specify in comments.

Parent/Guardian 1 Information

Paent/Guardian 2 Information

Priority Access for Kindergarten

Immunisation Status

*As of January 2016, all children attending an Early Childhood Service must be fully immunised.

An immunisation history statement will need to be provided when enrolling your child.

Maternal & Child Health Details

Has your child attended their Maternal Child Health key age and stage assessment?

Prior Connection

Additional/Medical Needs

Declaration

The information contained in this registration for Horsham & District Kindergarten Association central enrolment system is true and correct.

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