St Mary’s Waiting List Please fill in this form if you are interested in a position at St Mary’s Rainbow Preschool St Mary's Waiting List If you are human, leave this field blank. Your Child's Details Child's Surname * Child's Surname Child's Given Names * Given Names Gender * Male Female Date of Birth * Language/s Spoken * Do you identify as Aboriginal or Torres Strait Islander? * Known Special Needs * Does Your Family Qualify as "Low Income" (do you currently have a healthcare card)? * Yes No Attendance Which days would you like (Ie Monday/Tuesday): Monday Tuesday Wednesday Thursday Friday Date You Wish to Commence Preschool * Caregiver Details Parent/Carer Surname * Parent/Carer Given Names * Mobile * Email *
