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****PLEASE NOTE: WE'VE HAD SOME TECHNICAL ISSUES WITH RECEIVING ONLINE FORMS - IF YOU DO NOT HEAR FROM US WITHIN 48 HOURS, COULD YOU PLEASE EMAIL US ece@kidsonfoot.org - or call 027 3100 161 SO WE CAN ENSURE WE HAVE NOTED YOUR INTEREST*****

KIDS ON FOOT DAYCARE WAINUI PRE-ENROLMENT INFORMATION Please complete one form per child
Proposed start date
Child’s first name:
Child’s family name:
Child's date of birth
Gender
Ethnicity
Child's address
Caregiver (1) first name(s)
Caregiver (1) Family name
Caregiver (1) relationship to child
Caregiver (1) home ph no.
Caregiver (1) mobile ph no.
Caregiver (1) work ph no.
Caregiver (1) email address
Caregiver (2) First name(s)
Caregiver (2) Family name
Caregiver (2) relationship to child
Caregiver (2) home ph no.
Caregiver (2) mobile ph no.
Caregiver (2) work ph no.
Caregiver (2) email address
Intended hours of enrolment. PLEASE NOTE DOWN DROP OFF AND PICK UP TIMES FOR EACH DAY YOU WISH TO ENROL
How will you be paying for the service - WINZ subsidy or paying directly to Kids on foot? If by WINZ susbidy please note the hourly rate of subsidy you qualify for (if known)
Will you also be enrolling any school aged children into our Before/After School or Holiday programmes to take advantage of having all your children dropped off and picked up from one site? If yes, how many children and what school do they attend?
WIll you require transport for your children (please note that criteria will apply)

******ON RECEIPT OF THIS FORM YOUR CHILD’S NAME WILL BE ADDED TO OUR WAITING LIST AND A STAFF MEMBER WILL CONTACT YOU TO DISCUSS ENROLMENT POSSIBILITIES WITHIN 48 HOURS - PLEASE GET IN TOUCH IF YOU DO NOT HEAR FROM US, AS WE HAVE HAD SOME TECHNICAL ISSUES THAT OUR WEB PROVIDER IS LOOKING INTO******