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2017 Kimberley Place Preschool Enrolment
Use this form to provide us with your request for the enrolment of your child at Kimberley Place Preschool for 2017.
[PLEASE NOTE: One form per Child - Per Enrolment]
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CHILD INFORMATION
Family Name
*
Your answer
Given Names
*
Your answer
Usually Called
Your answer
Home Address
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Gender
*
Male
Female
Other
Required
PARENT OR GUARDIAN INFORMATION
Family Name
Your answer
Given Name
Your answer
Address
*
If this address is the same as the child's, please write: AS PER CHILD
Your answer
Phone
*
Your answer
Email
Your answer
Does the child live with the Parent?
*
YES
NO
Required
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