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Part 1

Questions 1-10
Complete the form below.
Write ONE WORD AND/OR A NUMBER for each answer.

Enrolment form

Early Learning Childcare Centre
Enrolment Form
Parent or guardian: Carol Smith
Personal Details
Child's name: Kate
Age:
Address: Road, Woodside, 4032
Phone: 3345 9865
Childcare Information
Days enrolled for: Monday and
Start time: am
Childcare group: the group
Which meal/s are required each day?
Medical conditions: needs
Emergency contact: Jenny Phone: 3346 7523
Relationship to child:
Fees
Will pay each

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