Our Lady of Good Counsel Outside School Care 11 Currie Road, Forestville NSW 2087 T: 0409 904 683 E: W: Expression of interest Preferred days of attendance (please select) Monday Tuesday Wednesday Thursday Friday Before school care After school care Vacation care Casual days only Child details Child 1 Child 2 Child 3 Surname Given name(s) / / / / / / D.O.B. Gender Male Female Male Female Male Female School attending Class year / / / / / / Proposed start date Parent/Guardian 1 Parent/Guardian 2 Full name: Full name: / / / / DOB: DOB: Relationship to child: Relationship to child: Address: Address: T: M: W: T: M: W: Email: Email: Other relevant information Reason for care:
Our Lady of Good Counsel Outside School Care 11 Currie Road, Forestville NSW 2087 T: 0409 904 683 E: W: Expression of interest Preferred days of attendance (please select) Monday Tuesday Wednesday Thursday Friday Before school care After school care Vacation care Casual days only Child details Child 1 Child 2 Child 3 Surname Given name(s) D.O.B. / / / / / / Gender Male Female Male Female Male Female School attending Class year Proposed start date / / / / / / Parent/Guardian 1 Parent/Guardian 2 Full name: Full name: DOB: / / DOB: / / Relationship to child: Relationship to child: Address: Address: T: M: W: T: M: W: Email: Email: Other relevant information Reason for care:
OLGC-OSHC-Expression-of-Interest.docx