259 Kildare Road, Doonside NSW 2767 02 8613 5061

Yanala Early Childhood Centre

Waiting List Application Form

Yanala is a culturally safe and community-led Aboriginal early childhood centre. We are an Indigenous-only service and accept applications for Aboriginal and/or Torres Strait Islander children.

Submitting this form is an expression of interest only and does not guarantee placement. Families will be contacted if a suitable vacancy becomes available.

1. Child’s Details

Child's First name

Child's Last name

Birthday

Day

Month

Year

Gender

Female

Male

Other

Address

Does this child identify as Aboriginal or Torres Strait Islander?

Yes, Aboriginal

Yes, Torres Strait Islander

Yes, Aboriginal and Torres Strait Islander

No

Primary language spoken at home:

Is your child currently enrolled at another service?

Yes

No

If yes, please provide name and reason for waitlisting with Yanala:

Do you have siblings or relatives currently attending Yanala?

Yes

No

If yes, please provide their name(s):

2. Parent/Guardian 1 – Primary Contact

Full Name

Address

Email

Phone

Relationship to Child:

Date of Birth

Cultural Identity:

Aboriginal

Torres Strait Islander

Both

Neither

3. Parent/Guardian 2 (if applicable)

Full Name

Address

Email

Phone

Relationship to Child:

Date of Birth

Cultural Identity:

Aboriginal

Torres Strait Islander

Both

Neither

4. Care Requirements

Preferred Start Date:

Schedule a Tour

July 2025

Week starting Sunday, July 13

Time zone: Coordinated Universal Time (UTC)Business location

Saturday, Jul 19

10:00 AM - 11:00 AM

11:00 AM - 12:00 PM

12:00 PM - 1:00 PM

1:00 PM - 2:00 PM

Come and see what makes Yanala special. Book a visit to meet our team, explore our learning spaces, and learn more about how we support Aboriginal and Torres Strait Islander children through culture, care and community.

5. Health and Additional Needs

Allergies or medical conditions:

Yes

No

If yes, please explain:

Is your child currently linked to any support services (e.g. speech therapy, NDIS, DCJ)?

Optional Attachments (if available)

Optional Attachments

Copy of child’s birth certificate

Copy of immunisation record

Supporting documentation (NDIS plan, medical letter, etc.)

Other

File upload

6. Declaration

I understand this form is an expression of interest and does not guarantee a placement. I confirm that the information provided is true and correct. I give permission for SRAC and Yanala staff to contact me regarding this application.

Signature (Parent/Guardian 1)

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Signature (Parent/Guardian 2, if applicable)

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Date picker

SRAC WEBSITE

YANALA ABORIGINAL CHILD & FAMILY CENTRE

YANALA EARLY CHILDCARE

ABOUT

CONTACT

SRAC PENRITH | Sydney Region Aboriginal Corporation | Penrith Aboriginal Community

ACKNOWLEDGEMENT

SRAC acknowledges all Aboriginal and Torres Strait Islander Traditional Custodians of Country and we recognise their ongoing connection to land, sea, Culture and our Communities. We pay our respect to our Elders past and present and to our future leaders.

Yanala Early Childhood Centre

Waiting List Application Form

1. Child’s Details

2. Parent/Guardian 1 – Primary Contact

3. Parent/Guardian 2 (if applicable)

4. Care Requirements

5. Health and Additional Needs

Optional Attachments (if available)

6. Declaration

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