Waitlist MaleFemaleParent/Guardian 1Parent/Guardian 2My Child will require care on the following days:MonTuesWedThursFriI require care from (eg: day, month, year):Are you flexible with days?YesNoIf you have two children are you willing to accept care for one only – if available?YesNoN/AA $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 accountAccount Name:BSB:Account Number:ReferenceThe Range Children’s Centre Inc633-000108289521(Child’s Name)Cheques should be made payable to "The Range Children's Centre" No cash is kept on the premises for security reasons.