Alpha Kids Academy Waiting List Application Contact Us Parent 1 First Name * Last Name * Relationship to the Child * Home Address * Mobile Number * Employment Status * —Please choose an option—Full TimePart TimeUnemployed Work Name * Work Number * Email Address * Parent 2 First Name Last Name Relationship to the Child Home Address Mobile Number Employment Status —Please choose an option—Full TimePart TimeUnemployed Work Name Work Number Email Address Child Details Last Name * First Name * Sex * Religion Date of Birth * Place of Birth * Does your child require extra support? * —Please choose an option—YesNo If yes, please specify Do you have other children attending daycare? * —Please choose an option—YesNo If yes, name of childcare Ethnicity * Languages Spoken * Child No.2 Details (Skip if n/a) Last Name First Name Sex Religion Date of Birth Place of Birth Does your child require extra support? —Please choose an option—YesNo If yes, please specify Do you have other children attending daycare? —Please choose an option—YesNo If yes, name of childcare Ethnicity Languages Spoken Current Days of Care MondayTuesdayWednesdayThursdayFriday Days of Care Required * MondayTuesdayWednesdayThursdayFriday Date Care Required * Which location are you wanting to enrol your child in? * —Please choose an option—BrookvaleGledswood If your child is 3 years of age or older, please let us know in what year you anticipate to send your child to school (Kindergarten) 202620272028 When did you tour Alpha Kids Academy? Comments Confirmation Your Full Name (required) * Date * By filling in the above and clicking SUBMIT you understand that with adding your child's name to the waiting list, that this no way guarantees your child's position until notified.
