Please download the PDF form below, complete all required fields, and add your signature. Once finished, upload the completed form using the form provided on this page. Thank you!
This form must be completed before your child accesses funded childcare.
All Early Years Providers are required by law to keep a record of children’s details who are claiming the funded entitlement. Completing this form and providing a copy of your child’s Birth Certificate is a condition of your child receiving funding with this provider. Parent Contracts must be kept for seven years and made available for audit purposes.
You are not obliged to give notice for the funded hours; however, we respectfully ask that you give as much notice as possible whilst also paying due regard to the provider’s notice period for non-funded hours.