Early Childhood Centre Waiting List Form

Please note that completing this form is not a confirmation of ECE enrolment.

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What Centre would you like to be waitlisted for?
Please tick your first choice of Centre. We will do our best to accommodate your wishes, but it will depend on demand and the age of your child.
Your child/tamaiti
You may enter a due date if your child is not yet born at the time of filling out this form.
Child's gender
Do you wish to register a second child for the Centre?
You may enter a due date if your child is not yet born at the time of filling out this form.
Second child's gender
Whānau/Caregiver details
Whānau status
Further information
Does your child have any health or dietary requirements?

Please indicate below the days and hours you wish your child to be booked in for.
Please indicate the times of day that your child would be at the centre, not just the amount of hours.

For example:
Monday: 5 hours, 10am-3pm
Tuesday: 8 hours, 8am-4pm
Total hours: 13 hours