Waitlist Now

We recommend parents join our waitlist as early as possible. Register below with your details and let us know your preferred campus, start date and number of days required. 

Once on our waitlist we will contact you to dicuss your enrolment. You can contact us at any time to update or change your details or preferences.

Feel free to contact our centres to arrange a visit where you will be introduced to our friendly & qualified team, view our facilities and see our programs in action.

 

 

PARENT/CARER DETAILS

First Name:*
Last Name:*
Street:*
Suburb:*
Post Code:*
Mobile Phone:*
Email:*
Relationship:*
Are You Currently:*
How did you hear about our service:*
Lighthouse ELC adheres to the Australian Government's priority of access guidelines.

CHILD INFORMATION

First Name:*
Surname:*
Is your child born:* Yes
No
DOB or Due Date:*
Gender: Male
Female
Preferred Location 1:*
Preferred Location 2:
Preferred Start Date:*
Preferred Days:*
Min 2 days. Monday or Friday are mandatory
Monday
Tuesday
Wednesday
Thursday
Friday
Are you flexible on days:* Yes
No
Does your child have any medical conditions:* Yes
No
If yes, please specify:
Does your child have any dietary requirements:* Yes
No
If yes, please specify:
ADD ANOTHER CHILD +
Additional Comments:
Waitlist Terms & Conditions
I understand that completing the wait list form does not guarantee my child a place at any of our services. I hereby state that the information provided is true and correct and acknowledge there is a mandatory two-day minimum requirement at Lighthouse Centres.