Peppermint Grove Early Learning Enrolments

Thank you for taking the time to view our website. We are very excited to be opening our beautiful centre in early 2025. In the meantime, we are now accepting online expression of interest forms. Complete your form today and we'll be in touch to introduce ourselves. We can't wait to meet your family!

Expression of Interest Form

Preferred Campus

Contact Information

Parent 1

Surname*

First Name*

Address*

Email*

Working Status*

Phone (Mobile)*

Phone (Home/Work)*

Preferred Contact Method

Email Phone

Parent 2

Surname

First Name

Address

Working Status

Phone (Mobile)

Phone (Home/Work)

Preferred Contact Method

Email Phone

Child Information

No. of Children:

Child 1 First Name*

Child 1 Surname*

Date of Birth*

Number of days required

Preferred Start Date

Child 2 First Name*

Child 2 Surname*

Date of Birth*

Number of days required

Preferred Start Date

Child 3 First Name

Child 3 Surname*

Date of Birth*

Number of days required

Preferred Start Date

Child 4 First Name*

Child 4 Surname*

Date of Birth*

Number of days required

Preferred Start Date

Why did you choose us?

What would you like to have included as part of your child's experiences at our centre?

What ideas do you have that will help us to be the best centre we can be?

Comments or special requirements