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Waiting List Application Form

 
Child's name:
Date of birth:
Gender:  Female  Male
Name of enrolling custodial parent or guardian:
Work Phone:
Child's address:
Home Phone:
Fax:
email address to send enrolment info to:
I would like my child to commence Citykids on:
Please indicate your prefered attendance:  Full time  Part time
If part time, which days?(minimum of 3 days) Monday  Tuesday  Wednesday  Thursday  Friday 
Have other children from your family attended Citykids? Yes  No
Comment:
How did you hear about Citykids?
 
   

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