Please complete this form if you are interested in a position at our Preschools Preschool in order of preference (Tick Your preference for each school) St Luke's 1st Preference 2nd Preference St Mary's Rainbow 1st Preference 2nd Preference Your Childs Details Child's Surname Child's Given Names Gender Male Female Date of Birth Languages 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 CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. Submit Application