Request to enrol

Thank you for your interest in enrolling your child at Bloom Early Learning Centre. Please enter your details below.

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Child Details

Child 1




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Are the above days flexible?

Child 2




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Are the above days flexible?

Child 3




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Are the above days flexible?

Parent / Guardian Details









Comments
Medical Conditions and Special Needs

Does your child have any ongoing medical condition or additional need (so we can ensure that we will provide appropriate care).


How did you find out about Bloom Early Learning Centre

Note: Enrolment is subject to available places and should not be considered automatic upon submitting this request. A staff member from Bloom Early Learning Centre will contact you to confirm your child's place.