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Waiting Pool Form
CHILD'S DETAILS (Please submit one form per sibling):
Child's First and Last Names
Date of Birth
Desired start date
Sibling also applying (submit separately)
Do you know what days you will need?
Yes, exactly as below.
Flexible, or don't know yet.
Select the days required (minimum two days)
Monday
Tuesday
Wednesday
Thursday
Friday
YOUR OWN DETAILS:
Contact parent's full name
Address
Phone
Email
One or both parents are a critical worker (key worker)
Is your child up to date with their immunisations?
Yes
No
Please tell us about your child's care needs.
Why have you chosen Casa Montessori for your child?
How did you hear about Casa?
Choose an option
I confirm the information supplied is correct.
I have taken note of the eligibility criteria for ELC funding at CASA.
View Fees page
I have read and understood the FAQ and terms and conditions and consent to being contacted by Casa using the details I have provided.
Submit
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