Surry Hills Neighbourhood Centre

SHNC Childcare - Day Care Expression of Interest

Surry Hills Neighbourhood Centre (SHNC) will be offering Long Day Care services when the new Surry Hills Library and Community Centre (SHLCC) opens at the end of March or early April, 2009. Demand for this service is expected to be high. Parents and carers are invited to complete the form below to indicate their interest in sending their child or children to this service. By submitting the form, you will be automatically added to our waiting list.

In this section, please show your name and contact details, so we can get back to you with more details of our Long Day Care Service as they are finalised. [* = required information, your name, your address and at least one child]

* Your Name: Please show your surname first
* Postal Address: Full postal address
Home Phone: Work Phone:
Mobile Phone:
Fax:
Email:
Tick here if you would like an email to confirm submission of this expression of interest.

Please indicate the children who would attend the Long Day Care.

Number of Children you wish to register? 1 2 3 4

Make sure you show each child's name and date of birth.

 Child NameDate of Birth
Child 1 * / /
Child 2 * / /
Child 3 * / /
Child 4 * / /

Please help us prepare for the new service by answering the following questions.
On what date would you like to start at SHNC Long Day Care? / /

Our use of SHNC Childcare would be regular occasional.

What days of the week would your children attend? (Please tick the boxes.)
Monday Tuesday Wednesday Thursday Friday

Typically, what times would you like to use the service?
Drop Off time 8:00am 8:30am 9:00am later
Pick Up time earlier 4:00pm 4:30pm

Please indicate your meal preferences for your children.
I will provide all the food for my children, with the meals and snacks prepared by staff.
The service should provide and prepare all meals and snacks, for an extra charge.
A combination of the above two options.
No preference.

Any additional comments or requests?

Thank for your submitting your expression of interest in SHNC Long Day Care. We will contact you as the details of our new service are finalised. Please ring us if you have any enquiries.

Please do NOT resubmit the same information. It will not improve your priority in our waiting list!