Please fill in the online enrollment request form below. Once a place has been accepted you will need to pay two weeks fees as a deposit on confirmation.
Please select the number of days you require: 5 days4 days3 days2 days1 days Please select the days you require: MondayTuesdayWednesdayThursdayFriday What hours of care per day will you generally require: (Eg. 7am – 3pm) Has your child attended another centre in the past year? NoYes Does your child have any special needs or care requirements? NoYes (If Yes, please explain below) Preferred Start Date: How did you learn about AntrimDay Care? Please SelectSearch EngineReferralYellow PagesNewspaper/Local PaperOn-site Advertising DetailsChild’s Name: Date of Birth (or anticipated date): How old will your child be at commencement of attendance:Years Months Name of person enrolling child:* Relationship to child:* Address: Suburb: Postcode: Phone (H): *Phone (W): Mobile: *Email: * Yes, I would like to receive news and updates. VerificationPlease enter any two digits *Example: 12This box is for spam protection - please leave it blank: