Daisies Waiting List Application

If you would like to make a time to visit, please call 4616013 and talk to the head teacher to book a time.


Childs Name *
Childs Name
Date of birth (or expected DOB) *
Date of birth (or expected DOB)
Names of parents / key caregiver(s) *
Names of parents / key caregiver(s)
Preferred start date
Preferred start date
Are you able to flexible about this start date? If so, give date range.
Are you able to flexible about this start date? If so, give date range.
Earliest date
Latest date
Full Time (5 days) or Part Time? *
Note: children over 3 must be enrolled a minimum 35 hours per week. Please also let us know your prefered days of the week and any plans on changes over time.
(work phone, cellphone)
Preference for washable or disposable nappies? *
Today's date *
Today's date