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Confidential Enrolment Form

This form must be completed by a parent or guardian who has parental responsibility in relation to the child. An explanation of parental responsibility is at the end of this form. The Education and Care Services National Regulations 2011 requires the Approved Provider (ECKA) to keep an enrolment record for each child containing the prescribed information in Regulations 160 to 162. Questions marked with an * are required by the regulations, however, answers you provide to each question will assist the service in educating and caring for your child. **CRN (Customer Reference Number) is required ONLY for Long Day Care Enrolments.