To be placed on our wait list, please fill in the form below. Alternatively, you can download the application form here and send to:

Berkeley Vale Pre-school Kindergarten Inc.
26 Kareelah Ave
Berkeley Vale NSW 2261.

If you have any queries, please do not hesitate to contact us on (02) 4388 4481.

* indicates required field

Child's Details:

Child's First Name:*

Child's Last Name:

Child's DOB:*

Parent/Carer's Details:

First Name:*

Last Name:*

Phone Number:*

Mobile Number:*

Address:*

Email:*

Does your child attend other Early Intervention Services, such as Speech, Occupational Therapy, or Paediatrician?:*

Yes No

If Yes, Details:

Do you have any reports:

Yes No

Information for priority of access:

Does your family have a Low Income Health Care Card or Concession Card?:*

Yes No

Does your family identify with Aboriginal heritage?:*

Yes No

No. of days required:*

Preferred Days:

Please indicate from the following attendance patterns:*

Mon and Tues; or
Mon, Tues and Wed; or
Thurs and Fri; or
Wed, Thurs and Fri

Year your child will start school?:*

Additional Comments:

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