Home
- About Us
  - Meals
OUR ROOMS
Enrolment
Parent Information
- Child Care Subsidy
Blog
Contact Us

1-5 Homestead Ave, Walkley Heights, SA 5098

Home
- About Us
  - Meals
OUR ROOMS
Enrolment
Parent Information
- Child Care Subsidy
Blog
Contact Us

Don't Miss Out; Enrol Today!

Enrol Your Child in Our Centre

We feel honoured that you have chosen our centre to further your child’s education, development, and care. At Walkley Heights Child Care Centre, we are passionate about delivering the best teaching and care possible. Our mission is to provide a high-quality service within a secure, warm, and loving environment. We will ensure your child’s needs are satisfied emotionally, physically, and psychologically. At our centre, we manage all enquiries as promptly as possible. Please do not hesitate to speak to us in person, over the phone, by email, or via our Facebook page.

Enrolment forms should be returned to the centre as quickly as possible. This is to ensure the booking can be uploaded to our system before your child’s start date and also to allow you sufficient time to log onto your MyGov account to confirm your child’s enrolment.

Complete Form to Enrol Your Child

We will call you to confirm that we have received it!

Contact Us

START DATE

Free Text

MOTHER'S DETAILS

MOTHER’S SURNAME

Christian names

Preferred name

Date of birth

Home address

Home phone number

Postcode

Mobile

Email address

Child lives with you?

Yes

Ethnicity

Language spoken

Occupation

Employer

Employer Address

Work phone number

CRN

Free Text

FATHER'S DETAILS

FATHER’S SURNAME

Christian names

Preferred name

Date of birth

Home address

Home phone number

Postcode

Mobile

Email address

Child lives with you?

Yes

Ethnicity

Language spoken

Occupation

Employer

Employer Address

Work phone number

CRN

Emergency Contact 1

Contact 1 Emergency Contact Information (next after parents) Authorisation to collect child

Surname

Christian Name

Relation to child

Address

Home Phone

Mobile number

Work Phone

Free Text

Contact 2 Emergency Contact Information (next after parents) Authorisation to collect child

Surname

Christian Name

Relation to child

Address

Home Phone

Mobile number

Work Phone

Free Text

Contact 3 Emergency Contact Information (next after parents) Authorisation to collect child

Surname

Christian Name

Relation to child

Address

Home Phone

Mobile number

Work Phone

Free Text

Permission

To complete observations for use within the Centre or where staff are studying, however, if questioning or testing of the child is undertaken my permission will be sought beforehand

Yes

For my child to take part in supervised short walking excursions within the local area as part of the Centre's program

Yes

To apply foreign substances, e.g. sunscreen, nappy change lotion, nappy powder or any other substance required, onto my child's skin as the need arises

Yes

To use the name and/or photo of my child for the Centre displays and/or promotional use, including media, website and our Facebook page

Yes

To be checked for Head lice where necessary

Yes

To be involved in water play-based experiences

Yes

To have basic first aid applied if necessary, e.g. band-aids

Yes

To hold 'incursions' at the Centre, entertainers and educational visitors and allow my child to be part of these experiences

Yes

Free Text

CHILD'S DETAILS

CHILD'S SURNAME

Christian names

Preferred Name

Date of Birth

Home Address (if different to parents)

Place Of Birth

Postal Code

Sex:

Male

Female

Ethnicity

Aboriginal or Torres Strait Islander descent?

If yes, please provide details and a photocopy

Language Spoken

Religion

CRN

Custody Court Orders?

If yes, please provide details and a photocopy

Has your child been immunised?

Yes

Free Text

Proof must be shown to staff to enable us to retain a photocopy of details

ALLERGIES: Does your child have any allergic reactions? E.g., foods, medication, grass, sunscreen OR any special dietary requirements or religious/cultural beliefs, e.g. vegetarian

Yes

MEDICAL CONDITIONS: Does your child have any medical conditions? E.g., asthma, convulsions

Yes

MEDICATION: Does your child take any regular medication?

Yes

Does your child have any special needs/challenging behaviours?

Yes

Any other relevant information? E.g., concerns, interests, pets, toilet training, sleep needs?

How do you settle your child when she/he becomes distressed?

Does your child have a special comforter?

Does your child have any fears? E.g., animal, thunder, lightning, frightened of the dark etc

Are there any celebrations or festivals you do not wish your child to participate in?

Free Text

Child's registered dental practitioner or service details

Service Name

Practitioner's Name

Contact Phone Number

Address

Permission to contact Dental Practitioner in case of emergency.

Yes

Free Text

AT LEAST ONE PARENT MUST SIGN BELOW

Signed: Mother

Signed: Father

Signed: Parent3

Free Text

Signing in and out

You are required to sign your child in and out each and every day that they attend. This is done using an iPad located in Reception.

Free Text

MEDICAL EMERGENCY

In case of an accident or emergency, every effort will be made to contact the parents immediately. In the event that my child requires urgent medical attention, I

Free Text

(Parent/Guardian), authorise the staff of Walkley Heights Child Care Centre to obtain medical assistance which they deem necessary, and agree to pay any medical and transport costs incurred. I agree to indemnify Walkley Heights Child Care Centre and its staff against any liability relating to, or incidental to, Walkley Heights Child Care Centre custody and care of my child, except where such liability is directly caused by any wilful act or omission of Walkley Heights Child Care Centre or its servants or agents.

Free Text

SIGNED

Parent 1

Date

Parent 2

Date

Parent 3

Date

Free Text

FEE AGREEMENT

It is the responsibility of parent/guardians to ensure that the enrolment form is completed in full and returned to the Centre before the commencement of care. This form provides the Centre's link to you as parents/guardians in an emergency. I undertake to pay the fees weekly in advance. I understand that the fees must be paid regardless of attendance, e.g., sickness, Public Holidays, or Annual Leave, and I understand there will be no swapping of days or "making up" of days not attended. Fees for holidays must be paid in advance prior to your child commencing such leave. If my fees are in arrears for more than two weeks and no arrangements have been made with the Centre, my child's place will be withdrawn. Should I fail to pay my fees and my place is removed, or when I leave the Centre, I will be liable for all additional costs incurred by the Centre in collecting the outstanding fees. Full fees are payable until the Centre receives my Child Care Benefit Confirmation. Notice: When my child is leaving Walkley Heights Child Care Centre or reducing the number of days of attendance, I must give two weeks' written notice or pay appropriate fees in lieu of such notice

Free Text

SIGNED

Parent 1

Date

Sign Here

Parent 2

Date

Sign Here

Parent 3

Date

Sign Here

Free Text

PARENT 3 Details

PARENT 3 SURNAME

Christian names

Preferred Name

Date Of Birth

Home Address

Home Phone Number

Postal Code

Mobile Number

Child lives with you?

Yes

Ethnicity

Occupation

Language spoken

Employer Address

Employer

Work Phone Number

CRN

Are you using, or have you used, any child care services before?

If yes, please provide details:

New Field:

Why did you choose Walkley Heights Child Care Centre? E.g., clean, friendly staff/atmosphere, location.

How did you find us?

Free Text

Days / Times you require our care

Days

Arrival Time

Departure Time

New Field:

Free Text

The Family Assistance Office can provide your information to someone else in special circumstances, where Commonwealth legislation allows or requires, or where you give permission. Walkley Heights Child Care Centre may need to request the following information from the Family Assistance Office:

Details regarding your percentage and its currency, your current residential address and phone number.

I give my permission for this to be given

Yes

Signature Date

Free Text

Family Details

NAMES AND AGES OF SIBLINGS OR RELATIVES AT THE CENTRE

Name

Age

Name

Age

Name

Age

Name

Age

Free Text

FAMILY DOCTOR DETAILS

Family Doctor / Clinic Name

Address

MEDICARE NUMBER

PRIVATE HEALTH INSURANCE

Yes

New Field:

AMBULANCE COVER

Yes

Can you assist the Centre in any way?

Thank you for contacting us.
We will get back to you as soon as possible.

Oops, there was an error sending your message.
Please try again later.

Printable Enrolment Form

Click Here

Enrol your child now.

Quick Links

Home
- About Us
  - Meals
OUR ROOMS
Enrolment
Parent Information
- Child Care Subsidy
Blog
Contact Us

Contact Information

(08) 8359 6363

walkleyheightsccc@outlook.com

1-5 Homestead Ave, Walkley Heights, SA 5098

Business Hours

Mon - Fri: 6:30 am - 6:00 pm
Sat - Sun: Closed

Public holidays: Closed

Our Location

Content, including images, displayed on this website is protected by copyright laws. Downloading, republication, retransmission or reproduction of content on this website is strictly prohibited. Terms of Use | Privacy Policy