Waitlist Form - Little Superstars Early Learning Centres

Child’s Details*

First Last

Date Of Birth*

Parent/Primary Contact Details

Title First Last

Phone*

Email*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Child resides with you?*

Yes
No

Enrolment Requirements

Please indicate the number of days per week you would like your child to attend. This is an indication only to assist us with planning. The number of days and day preferences will be confirmed as places become available. We will contact you as soon as we can confirm a place for your child.

Location*

Number of days required:

Preferred days*

Date to commence*

Flexible with days?*

Yes
No

Have any siblings attended Little Superstars?*

Yes
No

Sibling’s name

First Last

Any comments you would like to add?

Payment

Payment of $25 waiting list application fee is required to complete this form. Please deposit this into the following account to secure your spot on our wait list:

Account Name: Little Superstars Early Learning Centre

BSB: 082 490Account Number: 196147230

Include your child’s name and application fee as details of deposit

This fee is non-refundable

Phone

This field is for validation purposes and should be left unchanged.

Little Superstars waiting list application