Little Explorers Academy
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We believe every child deserves a place where they feel seen, supported, and celebrated. Let’s hold that space for yours.

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      Child Details

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    Guardian Details

    Guardian's Details

    Parent/Guardian registered for Child Care Subsidy

    Child's Details

    Number of Children:*

    Child 1

    Child First Name:*

    Child Last Name:*

    Child Date Of Birth:*

    Expected Start Date*


    Child 2

    Child 2 First Name:*

    Child 2 Last Name:*

    Child 2 Date Of Birth:*

    Expected Start Date*


    Child 3

    Child 3 First Name:*

    Child 3 Last Name:*

    Child 3 Date Of Birth:*

    Expected Start Date*


    Child 4

    Child 4 First Name:*

    Child 4 Last Name:*

    Child 4 Date Of Birth:*

    Expected Start Date*

    Additional Comments

    Please let us know if you have any additional questions or comments. eg. days of care required, start date, additional children information.

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