The Sanctuary at Hillside is an early learning centre for children.

Expression of Interest Form

Expression of Interest Form - The Sanctuary At Hillside
Parent Full Name *
Address *
Phone Number *
(best contact number for daytime access)
Email Address
What date do you wish care to start?

Child 1
Full Name
Date of Birth
Immunisation up to date
Yes
No
What days do you require
Monday
Tuesday
Wednesday
Thursday
Friday

Child 2
Full Name
Date of Birth
Immunisation up to date
Yes
No
What days do you require
Monday
Tuesday
Wednesday
Thursday
Friday

Child 3
Full Name
Date of Birth
Immunisation up to date
Yes
No
What days do you require
Monday
Tuesday
Wednesday
Thursday
Friday

Reason For Care
Work
Student
Non Work Related
Other - Additional comments/information (this is an opportunity for you to tell us briefly about any special requirements you or your children have in order for us to support a successful start in our service):