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Enrolment Process Information

Due to the extensive demand for care, our expressions of interest application is NOT currently monitored. If you are wanting to be placed on our services waitlist, please contact the service directly on 9730 1442 or Email address- info@yarraglenelc.com.au

Contact Information

Your Name*

Address*

Email*

Phone (Mobile)*

Phone (Home/Work)*

Child Information

Childs Surname*

Child 1 Name*

Date of Birth*

Child 2 Name

Date of Birth

Child 3 Name

Date of Birth

Days of the week preferred

I am flexible on days required

Number of days required

Additional Information

When would you like to commence at the centre?*

If a later date, please specify?

Are there any allergies, special needs or circumstances that you would like to discuss?

How did you hear about us?