Crèche and Kids Club Enrolment Form

Please complete this form in preparation for your child’s first visit to the crèche or Kids Club.

For more information, please call 9400 4600.

Please select a program.

Parent / Guardian Details

Please let us know your name.
Please enter your suburb.
Please enter your address
Please enter your post code
Please enter your phone number.
Please enter your mobile number.
Please enter your email address

Child Details

Please enter child's name
Please enter child's name
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Please enter your child's age.
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Medical/Allergy Conditions

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Please select a severity.
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Please note: An action plan must be provided upon enrolment for children with severe allergies or medical conditions and those requiring medication.

Please enter child's medical conditions
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Second Child Details

Please enter child's name
Please enter child's name
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Please enter your child's age.
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Medical/Allergy Conditions

Invalid Input
Please select a severity.
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Please note: An action plan must be provided upon enrolment for children with severe allergies or medical conditions and those requiring medication.

Please enter child's medical conditions
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Third Child Details

Please enter child's name
Please enter child's name
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Please enter your child's age.
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Medical/Allergy Conditions

Invalid Input
Please select a severity.
Invalid Input

Please note: An action plan must be provided upon enrolment for children with severe allergies or medical conditions and those requiring medication.

Please enter child's medical conditions

Emergency Contact Details

Please enter your emergency contact
Please enter your emergency relation
Please enter your emergency relation phone number
Please enter your emergency relation mobile number

Parent Declaration

Please agree to continue.
Please agree to continue.

Cragie Leisure Centre staff will make every effort to ensure that the highest standards of care are offered to the children enrolled in each program and agree for my child to participate in all activities offered. Organisers however, will not be liable for loss, damage or injury to property or person, occasioned as a consequence of the enrolment of any child or children in the Cragie Leisure Centre – crèche and Kidz Club program or participation in that program and as a parent you acknowledge the exclusion of liability accordingly.

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