Apply for a Place at St Peter Chanel Preschool

Child's Name *

First Name

Last Name

Date of Birth *

MM

DD

YYYY

Parent/Guardian Full Name *

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone (Home/Mobile) *

(###)

###

####

Phone (work)

(###)

###

####

Preferred start date *

MM

DD

YYYY

Preferred Session Days/Times - MINIMUM 3 per week *

Monday

Tuesday

Wednesday

Thursday

Friday

Is your child in public care (looked After)? *

Yes

No

Does your child have any siblings at the Pre-school or St Peter Chanel Primary School? *

Yes

No

By checking this box and submitting the form I confirm all the information provided in accurate and I have read and understood the Pre-School admissions policy. *

Yes