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Questions 1-10  Listen from here

Complete the form below.

Write ONE WORD AND/OR A NUMBER for each answer.

Early Learning Childcare Centre Enrolment Form


Parent or guardian: Carol Smith


Personal Details

Child’s name: Kate

Age: 1

Address: 2 Road, Woodside, 4032

Phone: 3345 9865


Childcare Information

Days enrolled for: Monday and 3

Start time: 4 am

Childcare group: the 5 group

Which meal/s are required each day? 6

Medical conditions: needs 7

Emergency contact: Jenny 8 Phone: 3346 7523

Relationship to child: 9



Will pay each 10


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