PLEASE FILL IN THIS FORM IF YOU ARE INTERESTED IN A POSITION AT ST MARY'SÂ PRESCHOOL 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 Submit Application