{"id":15,"date":"2017-08-18T16:17:45","date_gmt":"2017-08-18T16:17:45","guid":{"rendered":"https:\/\/littlegreentreehouse.com.au\/?page_id=15"},"modified":"2018-01-11T04:37:11","modified_gmt":"2018-01-11T04:37:11","slug":"join-our-waiting-list","status":"publish","type":"page","link":"https:\/\/littlegreentreehouse.com.au\/join-our-waiting-list\/","title":{"rendered":"Waiting List Application Of Little Green Tree House"},"content":{"rendered":"<div class=\"waitlist-application-form\">\n<h1 class=\"sec-title\"><small>Waiting List<\/small> <span style=\"color: #6a841b;\">Application<\/span> Form<\/h1>\n<div class=\"text-center\">\n<p>Please ensure that you inform the centre of any changes in your child&#8217;s details<\/p>\n<p>&nbsp;<\/p>\n<\/div>\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f62-o1\" lang=\"en-US\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/wp-json\/wp\/v2\/pages\/15#wpcf7-f62-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"62\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.9.3\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f62-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/div>\n<div class=\"row\">\n\t<div class=\"col-sm-6\">\n\t\t<div class=\"form-group\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"FirstName\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"First Name\" value=\"\" type=\"text\" name=\"FirstName\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"form-group\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"ChildsSurname\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Child&#039;s Surname\" value=\"\" type=\"text\" name=\"ChildsSurname\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"form-group\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"DateOfBirth\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date form-control calender\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Date Of Birth\" value=\"\" type=\"date\" name=\"DateOfBirth\" \/><\/span><small>(Date of Birth)<\/small>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"form-group\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"Age\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Age In Years And Months\" value=\"\" type=\"text\" name=\"Age\" \/><\/span><small>(When Ideally Commencing Care)<\/small>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-sm-6\">\n\t\t<div class=\"form-group\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"PreferredDays\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text form-control\" aria-invalid=\"false\" placeholder=\"Preferred Days\" value=\"\" type=\"text\" name=\"PreferredDays\" \/><\/span><!--Preferred Days:<span class=\"wpcf7-form-control-wrap\" data-name=\"PreferredDays\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"PreferredDays[]\" value=\"Monday\" \/><span class=\"wpcf7-list-item-label\">Monday<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"PreferredDays[]\" value=\"Tuesday\" \/><span class=\"wpcf7-list-item-label\">Tuesday<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"PreferredDays[]\" value=\"Wednesday\" \/><span class=\"wpcf7-list-item-label\">Wednesday<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"PreferredDays[]\" value=\"Thursday\" \/><span class=\"wpcf7-list-item-label\">Thursday<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"PreferredDays[]\" value=\"Friday\" \/><span class=\"wpcf7-list-item-label\">Friday<\/span><\/label><\/span><\/span><\/span>-->\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"form-group\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"YourPrefferedAttendenceToCommence\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date form-control calender\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Your Preferred Attendence To commence\" value=\"\" type=\"date\" name=\"YourPrefferedAttendenceToCommence\" \/><\/span><small>(Commencement Date)<\/small>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"form-group\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"HowDidYouHear\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text form-control\" aria-invalid=\"false\" placeholder=\"How Did You Hear About Us\" value=\"\" type=\"text\" name=\"HowDidYouHear\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"form-group\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"SpecialNeeds\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Does Your Child Have Any Particular Additional Needs?\" value=\"\" type=\"text\" name=\"SpecialNeeds\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-sm-12\">\n\t\t<div class=\"form-group\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"Allergies\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text form-control\" aria-invalid=\"false\" placeholder=\"Does your child have any allergies or\n            anaphylaxis? If so, to what ingredients?\" value=\"\" type=\"text\" name=\"Allergies\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"col-sm-12\">\n\t<div class=\"form-group\">\n\t\t<p>Is Your Child Immunised: &nbsp;&nbsp;\n\t\t<\/p>\n\t\t<div class=\"radio-inline\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"IsYourChildImmunised\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"IsYourChildImmunised\" value=\"Yes\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"IsYourChildImmunised\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n<p>Approved for Government Rebates.\n<\/p>\n<div class=\"col-sm-6\">\n\t<h3 class=\"sec-title\">Parent\/Carer One\n\t<\/h3>\n\t<div class=\"form-group\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"ParentOneName\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Name\" value=\"\" type=\"text\" name=\"ParentOneName\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"form-group\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"ParentOneOccupation\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text form-control\" aria-invalid=\"false\" placeholder=\"Occupation\" value=\"\" type=\"text\" name=\"ParentOneOccupation\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"form-group\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"ParentOneEmail\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email form-control\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Email\" value=\"\" type=\"email\" name=\"ParentOneEmail\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"form-group\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"ParentOnePhoneH\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel form-control\" aria-invalid=\"false\" placeholder=\"Phone (H)\" value=\"\" type=\"tel\" name=\"ParentOnePhoneH\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"form-group\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"ParentOneMobile\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel form-control\" aria-invalid=\"false\" placeholder=\"Mobile\" value=\"\" type=\"tel\" name=\"ParentOneMobile\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"form-group\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"ParentOnePhoneW\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel form-control\" aria-invalid=\"false\" placeholder=\"Phone (W)\" value=\"\" type=\"tel\" name=\"ParentOnePhoneW\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"form-group\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"ParentOneHomeAddress\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text form-control\" aria-invalid=\"false\" placeholder=\"Home Address\" value=\"\" type=\"text\" name=\"ParentOneHomeAddress\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"form-group\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"ParentOnePostCode\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text form-control\" aria-invalid=\"false\" placeholder=\"Post Code\" value=\"\" type=\"text\" name=\"ParentOnePostCode\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"form-group\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"ParentOneLanguagesSpoken\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text form-control\" aria-invalid=\"false\" placeholder=\"Languages Spoken\" value=\"\" type=\"text\" name=\"ParentOneLanguagesSpoken\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"col-sm-6\">\n\t<h3 class=\"sec-title\">Parent\/Carer Two\n\t<\/h3>\n\t<div class=\"form-group\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"ParentTwoName\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Name\" value=\"\" type=\"text\" name=\"ParentTwoName\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"form-group\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"ParentTwoOccupation\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text form-control\" aria-invalid=\"false\" placeholder=\"Occupation\" value=\"\" type=\"text\" name=\"ParentTwoOccupation\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"form-group\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"ParentTwoEmail\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email form-control\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Email\" value=\"\" type=\"email\" name=\"ParentTwoEmail\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"form-group\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"ParentTwoPhoneH\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel form-control\" aria-invalid=\"false\" placeholder=\"Phone (H)\" value=\"\" type=\"tel\" name=\"ParentTwoPhoneH\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"form-group\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"ParentTwoMobile\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel form-control\" aria-invalid=\"false\" placeholder=\"Mobile\" value=\"\" type=\"tel\" name=\"ParentTwoMobile\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"form-group\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"ParentTwoPhoneW\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel form-control\" aria-invalid=\"false\" placeholder=\"Phone (W)\" value=\"\" type=\"tel\" name=\"ParentTwoPhoneW\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"form-group\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"ParentTwoHomeAddress\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text form-control\" aria-invalid=\"false\" placeholder=\"Home Address\" value=\"\" type=\"text\" name=\"ParentTwoHomeAddress\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"form-group\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"ParentTwoPostCode\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text form-control\" aria-invalid=\"false\" placeholder=\"Post Code\" value=\"\" type=\"text\" name=\"ParentTwoPostCode\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"form-group\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"ParentTwoLanguagesSpoken\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text form-control\" aria-invalid=\"false\" placeholder=\"Languages Spoken\" value=\"\" type=\"text\" name=\"ParentTwoLanguagesSpoken\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"text-center\">\n\t<p>Completion of this form places your child on our waiting list but does not guarantee enrollment in our centre.\n\t<\/p>\n\t<p>There is a $50 non-refundable deposit required with this application.\n\t<\/p>\n\t<p>Payment Details:<br \/>\nAcc Name: Kinder Palace Pty Ltd<br \/>\nBSB: 032-282<br \/>\nA\/C: 347761<br \/>\nRef: Childs Name\n\t<\/p>\n<\/div>\n<div class=\"row\">\n\t<div class=\"col-sm-6\">\n\t\t<div class=\"form-group\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"ApplicantsName\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Applicant&#039;s Name\" value=\"\" type=\"text\" name=\"ApplicantsName\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-sm-6\">\n\t\t<div class=\"form-group\">\n\t\t\n\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"text-right\">\n\t<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner btn btn-primary btn-lg\" type=\"submit\" value=\"submit\" \/>\n\t<\/p>\n<\/div>\n<div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Waiting List Application Form Please ensure that you inform the centre of any changes in your child&#8217;s details &nbsp;<\/p>\n","protected":false},"author":1,"featured_media":59,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"_links":{"self":[{"href":"https:\/\/littlegreentreehouse.com.au\/wp-json\/wp\/v2\/pages\/15"}],"collection":[{"href":"https:\/\/littlegreentreehouse.com.au\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/littlegreentreehouse.com.au\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/littlegreentreehouse.com.au\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/littlegreentreehouse.com.au\/wp-json\/wp\/v2\/comments?post=15"}],"version-history":[{"count":5,"href":"https:\/\/littlegreentreehouse.com.au\/wp-json\/wp\/v2\/pages\/15\/revisions"}],"predecessor-version":[{"id":100,"href":"https:\/\/littlegreentreehouse.com.au\/wp-json\/wp\/v2\/pages\/15\/revisions\/100"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/littlegreentreehouse.com.au\/wp-json\/wp\/v2\/media\/59"}],"wp:attachment":[{"href":"https:\/\/littlegreentreehouse.com.au\/wp-json\/wp\/v2\/media?parent=15"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}