Enrolment Caulfield | Headland Montessori

If you are human, leave this field blank.

From which date do you require care?

Please specify the days you require based on our available programs:

2 days program (Thursday-Friday)

3 days program (Monday-Wednesday)

5 days program (Monday-Friday)

I will

only take the selected days

will consider other available days

Please tick any of the following Priority of Access guidelines that apply to your situation:

Priority 1 – a child at risk of serious abuse and neglect

Priority 2 – a child of two parents or a single parent family working/training/studying

Priority 3 – any other child (includes any parent at home ie home duties)

Please tick any of the following that also apply to your family:

Aboriginal and Torres Strait Islander family

Single parent family

Families that include a disabled person

Family with culturally and linguistically diverse background

Other information to assist in processing:

What year will your child start primary school?

Nationality

Parent 1

First Name *

Last Name *

Email *

Mobile *

Parent 2 - Optional

First Name

Last Name

Mobile

Family Address details

Street *

Suburb *

Postcode *

State *

Phone

Child 1

First Name

Last Name

Date of Birth

Gender

Male

Female

Attended Montessori previously?

Yes

Attended Melbourne Montessori School

Does this child have any additional needs?

Child 2 - Optional

First Name

Last Name

Date of Birth

Gender

Male

Female

Attended Montessori previously?

Yes

Attended Melbourne Montessori School

Does this child have any additional needs?

Would you like to know more about Montessori education:

Yes

Other comments:

Additional Information

The information and personal details you provide on this Enrolment Form may contain personal information that identifies you or other people for the purposes of the Privacy and Personal Information Protection Act 1998. This Act provides for the protection of personal information and the privacy of individuals.

PLEASE NOTE:

Submission of this form does not constitute a guaranteed placement of your child at this centre
Priority of access is determined by compliance with regulatory requirements; after that in order of date of receipt of this form
It is your responsibility to advise the centre of any changes to the information provided on this form.

I have read and understood the above information

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Enrolments – Caulfield Centre

Headland Montessori - Caulfield - Expression of Interest

Other information to assist in processing:

Parent 1

Parent 2 - Optional

Family Address details

Child 1

Child 2 - Optional

Additional Information

PLEASE NOTE: