Child Care Waiting List Application

Note: A place on our waiting list does not guarantee a position at the service.

*Denotes required field.

Child Care Waiting List Application


Proposed Booking Details*

Access Guidelines*

How Did You Hear About Us?

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Please notify us immediately if any of the above information changes in any way. (Failure to do so may result in loss of position on waiting list). We have a firm commitment to protecting the privacy of our clients. Personal information collected on this form is for the purpose of contact and establishing priority of access only. settings and even apply custom CSS to this text in the module Advanced settings.

Child Care Waiting List Application, 20KB PDF

Alternatively, you can download and email us the Child Care List Appliccation.

Please email it to:​


Post it to: 208 – 210 Main South Road, Yankalilla SA 5203

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