LIST DATE: _________________________
PLAYGROUP WAITLING LIST FORM Welcome to the Perth Montessori School Playgroup. Please complete this form and hand it to the session leader. Advice regarding available places is generally made via email.
PARENT 1 FIRST NAME ________________________________________SURNAME_________________________________ This is who we will contact regarding available places PARENT 2 FIRST NAME ________________________________________SURNAME_________________________________
EMAIL ADDRESS_______________________________________________________________________________ ADDRESS ___________________________________________________________________________________ ____________________________________________________________________POST CODE _____________ CONTACT TELEPHONE__________________________________________________________________________
NAME OF CHILD (1) __________________________________________(DOB) ________________M/F__________ NAME OF CHILD (2) __________________________________________(DOB) ________________M/F__________ NAME OF CHILD (3) __________________________________________(DOB) ________________M/F__________
DATE OBSERVATION COMPLETED_________________________________________________________________
PLEASE NUMBER THE SESSION DAYS IN ORDER OF YOUR PREFERENCE – 1 BEING YOUR PREFERED DAY Please cross out any days that would not be suitable to you.
Monday
Tuesday
Wednesday Thursday
HOW MANY SESSIONS PER WEEK WOULD YOU LIKE?
Friday
One Session Two Sessions
COMMENTS__________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________