Collins Legacy Day Care

Apply for a Place

Tell us about your child and your family. We will contact you about the next steps.

Please share any information about your child's allergies, dietary requirements, medical needs or other care needs that may be important for us to know.

Parent or guardian

Full name *

Relationship to the child *

Phone *

Needed to use the parent portal later.

Address

How should we contact you?

Emergency contact

Someone other than you whom we can call in an emergency.

Full name *

Relationship

Phone *

Child

Child’s full name *

Date of birth *

Gender (optional)

Preferred start date

Age group / programme

Previous day care or school

The child lives at the address above

Allergies, medical conditions or care needs

Stored encrypted and seen only by authorised day care staff.

Anything else we should know?

Information provided through this application is used only to assess and manage your child's day care application and care needs. We handle submitted information responsibly and only share it where necessary for the child's care, safety or administration.

I agree that the day care may use this information to process the application. *