Early Childhood Education and Care Program of interestSelect a program from the list*Mt Evelyn - Long day care/kindergarten programYarra Junction - Long day care/kindergarten programChirnside Park 3 Year Old KinderChirnside Park 4 Year Old KinderOccasional Care (Chirnside Park)Occasional Care (Yarra Junction)Outside School Hours Care (Yarra Junction)Outside School Hours Care (Woori Yallock)Outside School Hours Care (Badger Creek)Yarra Junction - Gumboots Supported PlaygroupBadger Creek - Gumboots Supported PlaygroupVacation Care - School Holiday Program (Chirnside Park)Vacation Care - School Holiday Program (Woori Yallock)Vacation Care - School Holiday Program (Badger Creek)Other - please specify in there comment box belowEnquiry type*Would like to enrolRequire further informationStart dates and timesFees and chargesWould like to book a campus tourExpression of interestOther (enquiry type not on list)If Other was selected please specify the enquiry type belowContact and personal detailsPerson requiring the information*Parent or guardianOther (please specify in the field provided)If Other was selected please specify hereName* First Last Phone*Email Enter Email Confirm Email Suburb/townPostcodeOther information requiredWhere did you hear about us?*GoogleFacebookInstagramCire Kids Hub videoYouTubeEmailBrochureLocal newspaperYarra Ranges KidsCouncil pole bannerReferral – family or friendReferral – another service e.g. playgroupReferral – Cire serviceOther (specify in the box opposite)If Other was selected please specify below how you heard about us?CommentsPreferred follow up method Telephone Mobile Email CAPTCHA