We will at all times endeavour to place your child, however this may not be possible due to the Centre being at full capacity.  By completing this form the Centre is not automatically accepting that your child has a place.  You will be contacted within 48 hours indicating the waitlist time for your child.  Thank you.

Add new child only: 
(Please provide parent's email address(es))
 The name your child is known as:  
 First Name:    *
 Last Name:    *
 Street Address:    *
 Suburb:    
 City:    *
 Post Code:    *
 Date of Birth:    * (eg. 21/05/1970)
 Ethnicity:    *
 Gender:     Male    Female *

Parents/Guardians
Parent 1
 First Name:    *
 Last Name:    *
 Relationship:    *
 Street    *
 Suburb:    
 City:    *
 Post Code:    *
 Home:    *
 Work:    
 Email:    *
Parent 2  Ignore 
 First Name:    *
 Last Name:    *
 Relationship:    *
 Street Address:    *
 Suburb:    
 City:    *
 Post Code:    *
 Home:    *
 Work:    
 Email:    *
 Tribe/Hapu/Iwi your child belongs to:    

Date and Times of Enrolment
 Monday:    
 Tuesday:    
 Wednesday:    
 Thursday:    
 Friday:    
 Date the child will commence attendance at Centre:    * (eg. 21/05/1970)