Waiting List Application

Please note: Completing the following form registers your expression of interest in enrolling your child/children into the preschool but does not guarantee a place. We will contact you when a place is available for your child.


Child's Details

Please enter your child's details below. A separate form must be submitted for each child.

First Name *

Last Name *

Sex *
malefemale

Date of Birth *

Residential Address *

Preferred Email *

Please enter the email address you would like us to use to contact you regarding your child


Parent 1

First Name *

Last Name *

Residential Address

(If different from your child's)

Home Phone Number

Work/Mobile Phone


Parent 2

First Name

Last Name

Residential Address

(If different from your child's)

Home Phone Number

Work/Mobile Phone


General Information

What year do you expect your child to start primary school? *

Does your child identify as

Please Tick

Aboriginal or Torres Strait Islander?Low Income Health Care Card Holder?From a language background other than English?Physical, Intellectual, Developmental or Behavioural disability?At risk of significant harm?

What days would you like your child to attend Preschool? *

Please Tick

MondayTuesdayWednesdayThursdayFridayFlexible

Do you require these particular days because of employment reasons?

Will your child require additional assistance at preschool for medical, developmental, or allergic conditions? *

If yes, please provide details and names of organisations/therapists that can assist with your child's transition

I give permission for Coffs Harbour Preschool to contact the above named organisation/therapist for the purpose of discussing the needs of my child in relation to attending preschool

Name of Consenting Parent

Please enter name of consenting parent below

Other Information

Please include anything else that is not included above and you think we need to know

Enter code below to complete your Waiting List Application:
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Testimonial

“I am loving these daily reflections especially now that I am working and miss so much of Sam’s activities within the preschool. Good job girls.”

Tennille