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?