Sunrise North Fitzroy Send In The Details First Name Last Name Name child is usually known by (Required) Date of birth In the box below, enter the date in the format 25/06/2022 or select a date in the calendar Gender (Required) FemaleMaleOther Country of origin / cultural background Language(s) spoken in the home Does your child have a Health Care Card? (Required) YesNo Please provide details Has another child of yours attended Sunrise? (Required) YesNo Please provide details Does your child have any additional needs? (Required) YesNo Does your child have any allergies? (Required) YesNo Please provide details If Yes, Please mention it here. Parent / guardian 1 (primary contact) Prefix Dr.MissMr.Mrs.Ms.Mx.Prof.Rev. Given name Family name Contact phone number 1 (Required) Please provide at least one contact phone number Contact phone number 2 Email address (Required) Street number and street name (Required) State (Required)VICACTNSWQLDSATASWA Postcode Occupation Basis of employment CasualFull timePart time Click here to add details for a second parent / guardian Yes Parent / guardian 2 (primary contact) Prefix Dr.MissMr.Mrs.Ms.Mx.Prof.Rev. Given name Family name Contact phone number 1 (Required) Please provide at least one contact phone number Contact phone number 2 Email address (Required) Street number and street name (Required) Suburb State (Required)VICACTNSWQLDSATASWA Postcode Occupation Basis of employment CasualFull timePart time Integrated Kindergarten and Long Day Care Program Integrated Kindergarten and Long Day Care Program INDICATE YOUR PREFERENCES FOR 3 YEAR OLD AND OR 4 YEAR OLD INTEGRATED KINDERGARTEN AND LONG DAY CARE PROGRAM BELOW. Three year old children Integrated Kindergarten and Long Day Care Centre ( A minimum of 2 days)—Please choose an option—20232024202520262027202820292030 Four year old Integrated Kindergarten and Long Day Care program a minimum of 3 days Select year for child to attend Four Year Old Integrated Kindergarten and Long Day Care—Please choose an option—202320242025202620272028202920302031 Days requiredMondayTuesdayWednesdayThursdayFriday Please enter any additional comments below, if required. Declaration (Required)I agree to the Declaration By checking the box below, entering my name and clicking SUBMIT below, I declare that I am submitting an application for my child to attend Sunrise and that all the information I have provided is true and correct. Parent / guardian name (Required) Date (Required)
