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    • Rose Park Community Childcare

    • 22 Watson Ave, Rose Park SA 5067, AU Ph:8332 1791
      centre@roseparkcc.org.au

    • ENROLMENT FORM: PART 1

    • CHILD

    • Date Format: DD dash MM dash YYYY
    • Indigenous Status

    • ELIGIBLE PARENT/GUARDIAN & BILLING DETAILS

    • Date Format: DD slash MM slash YYYY
    • Address
    • Phone
    • OTHER PARENT/GURDIAN (if applicable)

    • Address
    • Phone
    • EMERGENCY CONTACTS & COLLECTION AUTHORITIES

    • Phone
    • Phone
    • N.B. it is very important that you tell these people that you have nominated them. In nominating them you give them authority to act on the child's behalf if neither parent can be located, to pick up the child in an emergency and care for the child until s/he can be returned home.

    • COLLECTION AUTHORITIES ONLY

    • Phone
    • Phone
    • BOOKINGS

      • Arrive
      • :
      • :
      • :
      • :
      • :
    • Depart
      • :
      • :
      • :
      • :
      • :
    • Date Format: MM slash DD slash YYYY
    • Date Format: MM slash DD slash YYYY
    • Contact Us

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