Waitlist Application Add your child to the Waitlist Child's Details Please enter you child's details below. A separate form must be submitted for each child. First Name* Last Name* Date of Birth* Residential Address* Parent Details First Name* Last Name* Phone* Parent email* General Information It is important to answer all questions honestly for priority of access and to help us to ascertain whether we are able to support your child’s needs. Will your child be attending any other preschool or preschool Program whilst attending Brayside Community Preschool (If yes please name service)?* YesNo What year do you intend your child to start primary school?* Does your child identify as (Please Tick all that apply)?* Aboriginal or Torres Strait IslanderFrom a language background other than EnglishPhysical, Intellectual, Developmental or Behavioural disabilityAt risk of significant harmLow Income Health Care Card HolderNone What days would you like your child to attend Preschool?* Please Tick the days your child will be able to attend (Please Note: Under the NSW state government funding guidelines children can only attend 2 days). MondayTuesdayWednesdayThursdayFridayFlexible Does your child have any medical conditions eg Asthma, Allergies, Anaphylaxis (If yes please provide details)?* YesNo Does your child require additional assistance for medical, developmental, or allergic conditions (If yes please provide details)?* YesNo Is your child on the NDIS?* YesNo Other Information Please include anything else that is not included above and you think we need to know Disclaimer: We rely on the accuracy of information provided to us by parents/caregivers to make decisions around staffing, resources and classroom arrangements. Brayside community Preschool Inc reserves the right to refuse or cancel any enrolment if we are unable to support the needs of any child who attends or wishing to attend Brayside Community Preschool.