Ipswich Kindergarten

(07) 3281 1585
ipswichkindergarten@bigpond.com

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Enrolment

Fields marked with * are required

Child's Name *

Gender *

Boy Girl

Date of Birth *

Address *

Telephone Number/s *

Email *

Parent/Guardian 2 *

Parent/Guardian 1 *

Do you identify your child as *

Aboriginal

Torres Strait Islander

South Sea Islander

Not Applicable

Do you hold one of the following *

Health Care Card naming the enrolled child Pensioner Concession Card Dept of Veteran Affairs Gold Card Dept of Veteran Affairs White Card Not Applicable

Card Number *

Card expiry date *

Further Information

How did you hear about our Kindy?

Please advise the centre if your contact details change at any time from the above details to ensure our waiting list is kept up to date.

exceeded 400

approved 400

Contact Details

	12 Milford Street
	Ipswich
	4305
	(07) 3281 1585
	This email address is being protected from spambots. You need JavaScript enabled to view it.

More Information

Termination/Access Restriction
Liability Disclaimer
Terms of Use
Privacy Statement
Statement of Fees
Waiting List Application
Waiting List Application - Online

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