(02) 6241 9181
3 Gari Pl, Giralang ACT 2617
Mon - Fri: 7:30 - 18:00
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Goals and curriculum
Meet Our Team
News & Events
Contact us
book tour
Home
Goals and curriculum
Meet Our Team
News & Events
Contact us
book tour
book tour
CHILD'S DETAILS
Name
Name (if more than one child requiring care)
D.O.B/Due Date
D.O.B/Due Date
FUTURE BOOKING DETAIL
Preferred start date
Days of attendance required (usually 2 day minimum)
Monday
Tuesday
Wednesday
Thursday
Friday
Would you be willing to commence care before this date if a place was offered?
Yes
No
Would you accept other days if they become available?
Yes
No
PRIORITY OF ACCESS
To ensure that vacacies are filled as per GYCCC policy, please tick all boxes that apply:
Current GYCCC family or employee
Previous GYCCC family or employee
Living in area
Are there any other extenuating circumstances as to why you are seeking child care?
PARENT/GUARDIAN DETAILS
PARENT/GUARDIAN DETAILS
PARENT/GUARDIAN 1
PARENT/GUARDIAN 2
FULL NAME
PREFERRED CONTACT NUMBERS
PREFERRED EMAIL
HOME ADDRESS
Would you like your child/ren to go on our Centre's waiting list?
Yes
No
Send
