25 Quentin Road
East Malvern, Victoria 3145
Telephone: 9569 9500
Facsimile: 9563 0362
E-mail: admin@eypp.org.au
Reg. No. A0009053
ABN: 36 759 914 393
Web: www.eypp.org.au

APPLICATION FOR THE WAITING LIST ONLY

Early Years @ Phoenix Park (EY@PP) offers long day care, sessional kindergarten and integrated programs within a purpose built children’s hub. Long day care is available from 7am -6pm for children aged 12 weeks to 6 years. Sessional kindergarten is available to children 3 to 5 years of age. Session times vary for each group and may change from year to year.
Please indicate on this form whether you are applying for long day care, sessional kindergarten or both.

CHILD'S NAME:

D.O.B:

CHILD'S NAME:

D.O.B:

CHILD'S NAME:

D.O.B:

PARENT/GUARDIAN’S NAME/S

ADDRESS:

TELEPHONE

Home No:

Work No:

Mobile No:

Email:

We offer places in accordance with the government priority of access and give preference to families already within the centre.

To establish government priority of access (confidential), please place an x beside applicable information.

1:

Children at serious risk of abuse or neglect

2:

Employed, studying/training/seeking employment

3:

Child/parent with continuing disability

4:

Respite care/ social needs for child

Family Circumstances (if relevant)

1:

Aboriginal family/Torres Strait Islander Families

2:

Children in socially isolated families

3:

Single parent

4:

Other

Please indicate which programs you are applying for at EY@PP by completing the relevantdetails:

1.      Long day Care: [available from 7am - 6pm]

Preferred commencement date (Month and Year)

Days for which care is preferred -please mark with x.

MondayTuesdayWednesdayThursdayFriday

Please specify if you have flexibility of commencement date, days of attendance and any other relevant information.

2.      3 year old kindergarten (sessional only)

*children must have turned three years old by the 30th April in the year they attend.

Year of commencement:

3.      Sessional 4 year old kindergarten:

*children must have turned four by the end of April in the year they attend four year old kinder.

Year of commencement:

4.      Integrated room with Long Day Care and 4 year old kindergarten

*children must have turned four by the end of April in the year they attend four year old kinder.

Year of commencement:

Days for which LDC is preferred as kinder sessions will be incorporated within the day - please tick.

MondayTuesdayWednesdayThursdayFriday

Please specify if you have any other relevant information.

Has your family been enrolled at our service in the past?

NoYes

-Child’s Name

Year attended:

Date: