You can download our waitlist application form, print it out, fill it in, and send it to us or you can fill in the online form below.

Orange Early Learning Centre Child Care - comic kid's face

Online Waitlist Application Form

Child's Name*
Child's Date of Birth*

Start Date of Care*

Number of days required*

Days required*


Are these days flexible?*


Mother's OR Sole Parent Details
Mother's or Sole Parent Name*
Mother's Address*

Mother's Phone*

Mother's Mobile*

Mother's Email*

Father's OR Other Parent Details
Father's or Other Parent Name
Father's Address

Father's Phone

Father's Mobile

Father's Email

Department of Family and Community Services Information
In order to comply with the guidelines determined by the Department of Family and Community Services and to ensure priority of enrolment on a needs basis, you are requested to supply the following information.
Please tick relevant information*

Two parent familySingle parent familyWorking full-timeWorking part-timeSeeking employmentHome dutiesStudyingIs the child at risk?

Do you or your child have any health problems or disabilities?*


If yes above, please provide details.

Are there any other special circumstances?*


If yes above, please provide details.

By filling out this form your child’s name is placed on a waiting list. However, there is no guarantee of placement in the centre.