Enrolment Form

Enrolling Your Child Should Be As Easy As Possible. To Register Your Child At Medowie Community Preschool, Please Complete The Digital Form Below.

Parent / Carer First Name

Parent / Carer Last Name

Parent / Carer Contact Number

Parent / Carer Email

Address

Child First Name

Child Last Name

Child Date of Birth

Child Gender

Female Male Other

Aboriginal/Torres Strait Islander

Yes No

Health Card Card

Yes No

Allergies/Speech Concerns

Additional Needs: Physical or Emotional

Medical Conditions

Preferred Group Selection

Sun's Group (Monday, Tuesday, Alternate Wednesdays) Star-s Group (Thursday, Friday, Alternate Wednesdays)