APP form/Waiting List

St. Joseph's Child Care
29 Mary Street,
Lidcombe, NSW, 2141
Tel/Fax:(02) 9649 8374

ABN:25 978 559 890

Application for Waiting List

Child information:

Child D.O.B.:




Sex:

Mother information:




Are you currently:
WorkingSeeking workUnemployedStudying


Father information:




Are you currently:
WorkingSeeking workUnemployedStudying


General information:
Marital status:

Do you currently have child care:YesNo

What days do you require care?
MondayTuesdayWednesdayThursdayFriday

Other information:
Does your child have any special needs or disabilities?YesNo

Does your child have any health issues?YesNo


Date from which care is required:

Please note:You might not get a place at the centre due to priority of enrolment or regulations. You should ring the centre every june and ask about your position on the list. If you change phone number or address you also to contact the centre and let us know.

Did you use our centre before for an other child / children? YesNo

Do you have more children at home?YesNo

By filling out this form your child/children's name goes on to the waiting list. If you are not offered a place during the year, you will need to contact the centre to know whether you are still interested in remaining on the waiting list.

Unfortunately there is no guarantee that you will be offered a place after a certain period of time.