Waitlist for 2026 / 2027

Parent / Guardian Information

Parent / Guardian Full Name

Email

Phone

Child Information

Child Full Name

School child is attending

Mount Anville Primary School

St. Laurences Boys National School

Does your child have any allergies or medical Conditions?

Yes

No

If yes, please provide details

Care Requirements

Preferred Start Date

Pick up time

We will be offering collections at 3:30pm also for those children attending afterschool activities, pick up must be on school premises

Additional Information

Additional Information

Is there any other information we should know about your child and their care requirements?

Consent and Acknowledgment

By submitting this form, I acknowledge that I am expressing interest in after-school care for my child and that this does not guarantee a placement. I understand that the program coordinators will contact me with further information.

Date

Day

Month

Year

Afterschool Club

After the Bell

Waitlist for 2026 / 2027