Waiting List Application If you are a human and are seeing this field, please leave it blank. There is a non-refundable charge of $5.00 to place your child on the waiting list to attend Rockhampton South Kindergarten. We accept Visa and MasterCard. Please submit the form below with your details. Fields marked with an * are required Child's Year of Commencement * 2016 (child born 1 July 2011 - 30 June 2012) 2017 (child born 1 July 2012 - 30 June 2013) 2018 (child born 1 July 2013 - 30 June 2014) 2019 (child born 1 July 2014 - 30 June 2015) 2020 (child born 1 July 2015 - 30 June 2016) 2021 (child born 1 July 2016 - 30 June 2017) 2022 (child born 1 July 2017 - 30 June 2018) 2023 (child born 1 July 2018 - 30 June 2019) 2024 (child born 1 July 2019 - 30 June 2020) 2025 (child born 1 July 2020 - 30 June 2021) Child's First Name * Childs Middle Name Child's Last Name * Child's Date of Birth (DD/MM/YYYY) * Child's Postal Address Address 1 * Address 2 Suburb/Town/City * State * QLD ACT NSW NT SA TAS VIC WA Post Code * Email Address * Parent's First Name * Parent's Last Name * Parent's Phone Number * Parent's Relationship to Child * Mother Father Legal Guardian Second Parent's First Name Second Parent's Last Name Second Parent's Phone Number Second Parent's Relationship to Child Mother Father Legal Guardian Comments Credit Card Details Card Number * CVC * The 3-digit value on the back of your card Name on the card * Expiration month (MM) * Expiration year (YYYY) * You will receive a confirmation email after your child is placed on our waiting list; check your spam folder if required. If you do not receive a confirmation email then your child is not on the waiting list. Please email us if you experience difficulty with this application form.