Parent/Guardian 1

    Parent/Guardian 2

    My Child will require care on the following days:

    I require care from (eg: day, month, year):

    Are you flexible with days?

    If you have two children are you willing to accept care for one only – if available?

    A $50.00 non-refundable administration fee is payable at the time of handing in your child's wait list application form.

    This fee is not refundable regardless of whether a place is offered or not.

    Payments via EFT may be made into the Centre’s bank account

    • Account Name:

    • BSB:

    • Account Number:

    • Reference

    • The Range Children’s Centre Inc

    • 633-000

    • 108289521

    • (Child’s Name)

    Cheques should be made payable to "The Range Children's Centre" No cash is kept on the premises for security reasons.