Waiting List Application

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Child Details

Family Details

Family Member 1 (Primary Contact)
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Family Member 2
Are you:

Priority of Access

The Australian Government's Priority of Access Guidelines requires families to help us prioritise your status in the waiting list according to the following categories. Please tick all relevant boxes in both sections.

First Priority

Second Priority

Third Priority


By checking the box below, you understand that completing this form does not guarantee a formal offer for a position at Cullunghutti Early Learning Centre at any given time. The service will contact you when a position for your child becomes available.
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