waiting list application

To secure a place on the waiting list, please complete this form.

if you are required to make a payment to join the waiting list you will need to have a credit card or PayPal account to complete this form.

  • Parent's Name
  • Address
  • Past or Present Enrolments
    Current or past enrolment(s) at Bambini?

     Existing Bambini Family Past Bambini Family New to Bambini

  • How many children would you like to register?
  • Centre
     Asling Street Brighton Wilson Street Brighton Centre Road Brighton East Bluff Road Hampton Newtown Geelong Parkville (RCH)
  • Child #1 Details
    Child's Name
  • [date* birth-date date-format:dd/mm/yy placeholder "Date of Birth"]
  • Preference for days (2 days minimum)
    Days of week

     Monday Tuesday Wednesday Thursday Friday

  • [date* estimated-date date-format:dd/mm/yy placeholder "Estimated Starting Date"]
    A fee of $50.00 per family (non refundable) is required with this completed form. Payment of this does not guarantee a place at Bambini, however every effort will be made to accommodate your needs.
  • Priority of Access

    If priority access applies to you please select one of the following and enter details as required.

  • Payment

    $ 0.00

  • How did you hear about Nurture Early Learning Centre
    Days of week

     Internet Direct mail drop On site signage Local newspaper Friend Other (Specify Below)