Long Day Care Expression of Interest

Surry Hills Neighbourhood Centre (SHNC) offers a quality Long Day Care service in a new, intimate, facility on the top floor of the Surry Hills Library and Community Centre.<

Opening hours are 8.00am – 4.30pm.

Parents and carers are welcome to submit an expression of interest form about enrolling their child or children. Demand for this service is high and by submitting this form you will be automatically added to our waiting list.

    Name


    First Name


    Middle Name


    Last Name

    Address


    Street Address


    Street Address


    City


    State


    Post Code

    Mobile Number*


    Phone Number

    Work Number


    Work Number

    Email*


    example@example.com

    Number of children you wish to register

    Full Name


    First Name


    Middle Name


    Last Name

    Date of Birth


    Date

    Full Name


    First Name


    Middle Name


    Last Name

    Date of Birth


    Date

    If the child/children have a sibling already enrolled, please enter sibling's name:


    What date would you like to start at Long Day Care?


    Date

    What days of the week would you like your child/children to attend?

    Monday, Tuesday & WednesdayThursday & Friday5 days per week

    Please select one of the following options to assist us with Priority for Allocating Places (as per Australian Government Department of Education)

    A single parent who works/studies full-timeA single parent who works/studies part-timeA single parent who is not working/studyingBoth parents work full-timeBoth parents work part-timeOne parent works full-time, the other works part-timeOne parent works full-time, the other not workingAboriginal or Torres Strait Islander familyA child with a disabilityA family whose CCB is 100%Non-English speaking background familyA child in a socially isolated family

    Any additional comments or requests?