Kalinga Enrolment Form CHILD'S DETAILS Child's Name * dd/mm/yyyy First Name Last Name Child's Date of Birth * PARENT ONE'S DETAILS Name of Parent/Guardian 1 * First Name Last Name Phone of Parent 1 * Email of Parent 1 * PARENT TWO'S DETAILS (optional) Name of Parent/Guardian 2 First Name Last Name Phone of Parent 2 Email of Parent 2 ABOUT YOUR CHILD What are your child's strengths? * What does your child find challenging? * What are your child's interests? * What are your main concerns for school readiness? * Fine motor skills Letter and sound recognition - phonemic awareness Emotional - Building confidence and resilience Early numeracy skills Social skills - turn-taking, sharing and making friends Organisational skills - listening, following instructions and organising materials Other Is your child toilet trained? * All children are required to be toilet trained. If you have any questions or concerns around this, please get in touch to discuss with Sarah Does your child have any medial conditions or allergies? * If yes, please provide all relevant details Does your child attend a Kindergarten Program? If yes, which one? * What school will your child be attending for Prep? * Do you give Little Learners Ascot permission to take photos of your child and post on Instagram and Facebook? * Yes No Do you give Little Learners Ascot permission to take photos and videos and send to you and other parents? * Yes No Please read and agree to our terms and conditions * View the terms and conditions here. I acknowledge that I have read and agree to the above Terms and Conditions. I DO NOT accept your terms and conditions ONE MORE THING How did you hear about Little Learners Ascot? A friend referral Kindy Flyer Instagram Facebook Google Other IF YOU NEED TO SEND US AN ADDITIONAL INFORMATION, PLEASE EMAIL US Thank you for your enrolment information.
