Waiting List Application Form Please ensure that you inform the centre of any changes in your child’s details (Date of Birth) (When Ideally Commencing Care) (Commencement Date) Is Your Child Immunised: YesNo Approved for Government Rebates. Parent/Carer One Parent/Carer Two Completion of this form places your child on our waiting list but does not guarantee enrollment in our centre. There is a $50 non-refundable deposit required with this application. Payment Details: Acc Name: Kinder Palace Pty Ltd BSB: 032-282 A/C: 347761 Ref: Childs Name