Creche Enrolment NCC

Please complete the form and acknowledge you have read the creche general information brochure.

The City of Busselton collects personal information to process this form and provide the requested services. Information may be used for related City business purposes or disclosed where authorised by law. To learn how your personal information is handled, access the City’s Privacy Statement or contact the Privacy Officer at privacy@busselton.wa.gov.au.

Is your child currently immunised?*This field is required.
Does your child suffer with any medical conditions (allergies, asthma, epilepsy etc.)?*This field is required.
Action Plan.
Photography - do you give permission for your child to be photographed by centre staff whilst participating in creche activities for City of Busselton promotional purposes?*This field is required.
Please acknowledge you have read and understood creche policy outlined.*This field is required.
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