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Call us: (03) 5783 2866

61-63 Dudley Street Wallan Victoria View Location

Forms

Enrolment Form- Please make sure you complete all FOUR pages, a completed Debit Success Form and a current copy of the child’s Medicare  Immunisation History Statement before enrolment will be confirmed.
Please refer to Family Information page for more information on “No Jab No Play” and ” No Jab No Pay”.

Dudley Street Enrolment Form Page 1 2019

Dudley Street Enrolment Form Page 2 2019

Dudley Street Enrolment Form Page 3 2019

Dudley Street Enrolment Form Page 4 2019

Dudley Street Debit Success Form 2019

Centrepay is a bill paying service, free for Centrelink customers, through which deductions can be made from a customer’s payment directly to our Business.

Authority to Administer Long Term Medication Form Dudley Street Rev 1.3

to be used when a child has a pre existing illness which is not Asthma,

ASCIA_Action_Plan_Allergic_Reactions_Green_2018

ASCIA_Action_Plan_Anaphylaxis_EpiPen_Red_2018

Please note that no bookings will be confirmed unless we have received:

  1. A current copy of the child’s Medicare Immunisation History Statement
  2. A fully completed Enrolment Form for each child, with the relevant days required listed.
  3. A Debit Success Form for paying your weekly account, and any other forms required depending on your child’s health, allergies etc.
  4. Centrepay – the easy way to pay your bills and expenses Centrepay is a voluntary bill-paying service that is free for Centrelink customers. Use Centrepay to arrange regular Deductions from your Centrelink payment. You can start or change a Deduction at any time. The quickest way to do it is through your Centrelink account online.