Jnr Explorers Early Learning Centre always welcomes enquiries as to future spaces at our service. If you would like your child's name to be added to our waiting list please fill out the form below:

Submitter's Details

Full Name
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Mobile Phone
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Your Email Address(*)
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Estimated Start Date(*)
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Number of children(*)
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FIRST CHILD DETAILS

Child's First Name(*)
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Child's Date of Birth(*)
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Days Required(*)

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(Please select all that apply)

SECOND CHILD DETAILS

Child's First Name(*)
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Child's Date of Birth(*)
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Days Required(*)

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(Please select all that apply)

THIRD CHILD DETAILS

Child's First Name(*)
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Child's Date of Birth(*)
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Days Required(*)

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(Please select all that apply)

PARENT/GUARDIAN DETAILS

Full Name(*)
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Home Address(*)
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Home Phone(*)
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Mobile Phone(*)
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Email Address(*)
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PARENT/GUARDIAN DETAILS

Full Name
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Home Address
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Home Phone
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Mobile Phone
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Email Address
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