Waitlist E-Form Pre-Enrolment Waitlist Date*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Time* : Hours Minutes AM PM Child’s Name* First Last Date of birth* DD slash MM slash YYYY Gender* Male Female Undisclosed Caregiver* First Last Phone* Email* You will receive a confirmation of your submitted entry to your email address.Address* Street Address City State Post code Email* Aboriginal or Torres Strait Islander* Yes No Centrelink Health care card* Yes No Centrelink Pension card* Yes No English as a second language* Yes No Disability/ NDIS Plan*Does your child access any other support services e.g. Speech Therapy, Occupational Therapy Yes No Disability/ NDIS Plan number* Disability - commentsPreferred Days* Monday Tuesday Wednesday Thursday Friday Year starting school* School attending* Forbes Public School Forbes North Public School St Laurences Bedgerabong Undecided HiddenSchool attending Comments