Contact Us - Queenstown Preschool Nursery

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Use the following form:

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ADDRESS 45 Brecon Street, Queenstown

PHONE 03 442 9217

EMAIL [email protected]

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WAITLIST FORM

Become part of the Queenstown Preschool and Nursery family.

If you’d like to be part of the Queenstown Preschool and Nursery family, we recommend you put your name down to ensure your children’s place in our centre.

CHILD'S NAME*
First Last
SEX
- Male
- Female
DATE OF BIRTH*
Date Format: DD slash MM slash YYYY
WHICH CENTRE WOULD YOU LIKE YOUR CHILD ENROLLED IN?*
- Nursery
- Preschool
Parent / Guardian Contacts
PARENT GUARDIAN*
First Last
HOME ADDRESS*
Street Address City
HOME PHONE
MOBILE PHONE
Attendance Details
What date would you like your child to start?*
MONDAY: Arrival time

: hour

minute
Departure time

: hour

minute
TUESDAY: Arrival time

: hour

minute
Departure time

: hour

minute
WENESDAY: Arrival time

: hour

minute
Departure time

: hour

minute
THURSDAY: Arrival time

: hour

minute
Departure time

: hour

minute
FRIDAY: Arrival time

: hour

minute
Departure time

: hour

minute
CONSENT
• I will notify QPN if I no longer require my child’s name on the Waiting List.
• I will contact QPN monthly to confirm I would like to remain on the Waiting List.
• I understand that if I do not contact the QPN monthly my child’s name will be taken off the List
Parent / Guardian Name:*
Date*
Date Format: MM slash DD slash YYYY

Get in Touch

Find Us

WAITLIST FORM

Become part of the Queenstown Preschool and Nursery family.

Parent / Guardian Contacts

Attendance Details

CONSENT

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