Waitlist Application Form

Waitlist Application Form
Enrolment Year*
PLEASE NOTE - we have reached capacity on our 2024 waitlist. Waitlist applications for 2024 are still available, however the waitlist fee will not be charged unless you are offered a position.
Child's Name*

First NameMiddle NameLast Name
Gender*

MaleFemale
Birth Date*

DayMonthYear
Nationality*
Home Language*
Aboriginal / Torres Strait Islander*
Parent / Guardian Name*
Contact Number*
Current Residential Address*

Street Address

Street Address Line 2

SuburbState

Post Code
E-mail*
Other Information
Enrolment Year*
PLEASE NOTE - we have reached capacity on our 2024 waitlist. Waitlist applications for 2024 are still available, however the waitlist fee will not be charged unless you are offered a position.
Attendance Pattern Preferred (not guaranteed):*

Monday / TuesdayMonday / Tuesday / WednesdayWednesday / Thursday / FridayThursday / Friday
Is your child currently in care?

YesNo
Have any siblings attended Gosford Preschool?

YesNo
Sibling name/s and year of attendance:
Government Health Care / Pension Card Holder?

YesNo
Does your child have any special requirements - Cultural / Religious / Custodial / Disabilities / Medical Needs?*

Yes (please provide details below)No
Details: please provide as much detail as possible in this section as this will allow us to better understand your child's needs. Adding details here will not impact on a position being offered to your child.
Why Gosford Preschool?
PLEASE NOTE

Payment of the $20 waitlist fee is required before your application will be added to the waitlist. Being placed on the waitlist does not guarantee a position. Positions are offered based on the priority of access guidelines set in our funding agreement with the Department of Education.
Direct Debit Details

Bank Details: Gosford Preschool Inc. BSB: 062544 A/C No: 10012303 Reference: Please use your child's name
Office Use Only
$20 Non-Refundable Waitlist Fee Paid (payable to be placed on waitlist)

Direct Deposit
Comments:
Date

daymonthyear
Should be Empty:

Waitlist Application Form

Other Information

PLEASE NOTE

Direct Debit Details

Office Use Only