Change of booking request Child's NameFirst Name *Last Name * Current HoursAttendance days Please choose which days your child currently attends.MondayStart Time Please choose the time your child currently starts.010203040506070809101112HH000510152025303540455055MMAMPMAM/PMEnd Time Please choose the time your child currently ends.010203040506070809101112HH000510152025303540455055MMAMPMAM/PM Tuesday 010203040506070809101112HH000510152025303540455055MMAMPMAM/PM 010203040506070809101112HH000510152025303540455055MMAMPMAM/PM Wednesday 010203040506070809101112HH000510152025303540455055MMAMPMAM/PM 010203040506070809101112HH000510152025303540455055MMAMPMAM/PM Thursday 010203040506070809101112HH000510152025303540455055MMAMPMAM/PM 010203040506070809101112HH000510152025303540455055MMAMPMAM/PM Friday 010203040506070809101112HH000510152025303540455055MMAMPMAM/PM 010203040506070809101112HH000510152025303540455055MMAMPMAM/PM Requested days and hoursRequested Start Date Please choose from what date you are requesting from.Requested Days Please choose which days you are requesting your child attend.MondayStart Time Please choose a start time you request your child attend.010203040506070809101112HH000510152025303540455055MMAMPMAM/PMEnd Time Please choose an end time you request your child attend.010203040506070809101112HH000510152025303540455055MMAMPMAM/PM Tuesday 010203040506070809101112HH000510152025303540455055MMAMPMAM/PM 010203040506070809101112HH000510152025303540455055MMAMPMAM/PM Wednesday 010203040506070809101112HH000510152025303540455055MMAMPMAM/PM 010203040506070809101112HH000510152025303540455055MMAMPMAM/PM Thursday 010203040506070809101112HH000510152025303540455055MMAMPMAM/PM 010203040506070809101112HH000510152025303540455055MMAMPMAM/PM Friday 010203040506070809101112HH000510152025303540455055MMAMPMAM/PM 010203040506070809101112HH000510152025303540455055MMAMPMAM/PM *Please note your child needs to be enrolled for a minimum of 6 hours per week, over 2 days Name of Parent/Caregiver submitting holiday formFirst Name Last Name Email Phone Privacy Policy Star Early Learning undertakes to collect, use and store the information you provide on this form according to the principles of the Privacy Act 1993. The information will be used to prepare rolls and records required by the Ministry of Education and Department of Work and Income for administrative purposes. Confidentiality will be maintained. *I certify that the above information is true and correct to the best of my knowledge, and by submitting this application I accept the terms, conditions and policies of the centre VerificationPlease enter any two digits *Example: 12This box is for spam protection - please leave it blank: For more information, please contact us.If you are interested, send us an enquiry and we will get back to you as soon as we can! Contact Us