Enrol Now

Enrol Now

Head Office

0455 207 628

Level 2, 158 Margaret Street

Toowoomba City

Queensland 4350

Glenvale Centre

662-670 Greenwattle Street

Glenvale, Toowoomba

Queensland 4350

Bald Hills Centre

36 Strathpine Road

Bald Hills, Brisbane

Queensland 4350

Contact Us

Free Text

CHILD’S INFORMATION

FULL NAME

DATE OF BIRTH

GENDER

HOME ADDRESS

Free Text

PARENT/GUARDIAN DETAILS

FULL NAME

GUARDIAN STATUS

HOME ADDRESS

HOME CONTACT NUMBER

WORK CONTACT NUMBER

EMAIL ADDRESS

Free Text

EMERGENCY CONTACT INFORMATION

FULL NAME

RELATIONSHIP TO CHILD

HOME ADDRESS

HOME CONTACT NUMBER

WORK CONTACT NUMBER

EMAIL ADDRESS

Free Text

MEDICAL INFORMATION

MEDICARE NUMBER

IMMUNISATION RECORDS

IMMUNISATION RECORDS

ALLERGIES

HEALTHCARE REQUIREMENTS

DOCTOR NAME

DOCTOR PRACTICE

Free Text

AUTHORISED PICK-UP PERSONS

FULL NAME

RELATIONSHIP TO CHILD

PHONE NUMBER

EMAIL ADDRESS

Free Text

ENROLMENT DETAILS

PREFERRED START DATE

CHILD’S CURRENT AGE

CHILD’S INTERESTS/HOBBIES

Free Text

OTHER

MESSAGE

Charley’s Place caters to children aged 0 to 5 in Toowoomba and Brisbane.

© 2023 All Rights Reserved | Charley’s Place | Site by Wülfe

NAVIGATION

PARENT’S LOUNGE

Free Printable Activities

Common Questions

Share by: