0403 055 209

279-281 North Road, Caulfield South VIC 3162

Mon-Fri 7:30am - 6:00pm

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Reserve My Place

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Reserve My Place

"*" indicates required fields

Instructions

One form per child
Please go through each section and ensure all mandatory fields are filled.
Fields marked with * are mandatory.

Child Details

Name Of Child*

First Last

DOB*

DD slash MM slash YYYY

Gender*

Female

Male

Attendance

When would you like to start?*

Estimated date. You can change this later.

DD slash MM slash YYYY

What room would you like?

0-2

2-3

3-4

4-5

Please select a bilingual language

English & Hebrew

English & Spanish

No Preference

What days do you want?*

Monday

Tuesday

Wednesday

Thursday

Friday

Occasional Care

Parents

Parent/Caregiver 1

Primary Caregiver

Name*

First Last

DOB (Parent 1)*

DD slash MM slash YYYY

Phone*

Email*

Enter Email Confirm Email

Address

Street Address Address Line 2 City State Post Code

Parent/Caregiver 2

(Optional)

Name

First Last

Phone

Email

Enter Email Confirm Email

Address

Street Address Address Line 2 City State Post Code

Comments

Comments, Medical Conditions and Special Requests

Payments

A deposit of $350 is required to secure your place.
Deposit is non-refundable however it is credited to your account.
Please choose how do you want to pay this deposit from the following options -

Do you want to pay by Credit Card?*

4% processing fee applies to credit card transactions.

Yes

No

Our banking details for direct bank transfer:
Account Name: Happy Toddlers Pty Ltd
BSB: 013304
Account Number: 197112785

Deposit

Credit Card

Card Details

Cardholder Name

CAPTCHA

Δ

Contact Us

0403 055 209
leorachildcareandkindergarten@gmail.com
279-281 North Road, Caulfield South VIC 3162
Mon - Fri: 07:30am - 6:00pm