"*" indicates required fields Centre*Select CentreArdrossAshbyBaldivisBayswaterBelmontBrabhamCoolbellupDaytonKarrinyupMidlandPerth – Elizabeth QuayWattle GroveName of child*Email* D.O.B DD slash MM slash YYYY Parents Name*Contact No*1. Do you require a change to your child/rens current booking?New booking to start DD slash MM slash YYYY (Week beginning date)Days Care Required Monday Tuesday Wednesday Thursday Friday Arrival time (Monday) Hours : Minutes AM PM AM/PM Departure time (Monday) Hours : Minutes AM PM AM/PM Arrival time (Tuesday) Hours : Minutes AM PM AM/PM Departure time (Tuesday) Hours : Minutes AM PM AM/PM Arrival time (Wednesday) Hours : Minutes AM PM AM/PM Departure time (Wednesday) Hours : Minutes AM PM AM/PM Arrival time (Thursday) Hours : Minutes AM PM AM/PM Departure time (Thursday) Hours : Minutes AM PM AM/PM Arrival time (Friday) Hours : Minutes AM PM AM/PM Departure time (Friday) Hours : Minutes AM PM AM/PM 2. If you are giving notice to cancel your child/rens care(Please note – your last payment for childcare will be taken on the Monday of the last week of care identified below.)Last week of care(Week beginning date MONDAY)End of Care Information - IMPORTANT This is a reminder, in accordance with your registration agreement, that 14 days’ notice is required to end care. If you terminate care without providing the required notice, the notice period will be charged from your child’s last attended day. Please note, if care is not utilized during the notice period, CCS will not apply, and full fees will be due from the last attended day through to the last booked day. All outstanding fees must be paid and settled prior to the last day of care. As per your registration agreement, you will be responsible for any debt collection and late payment fees if the account is not paid in full before the final day of care.NameThis field is for validation purposes and should be left unchanged.