Thinking of Enrolling with us?

If you are thinking of enrolling your child at Pukeko, we would love to hear from you!

We encourage you to enrol your child as soon as possible to secure a space.

Name of Child *

First

Last

Primary Address *

Desired Start Date

Age of Child (at the start of childcare) *

Is your child toilet trained?

• Yes, fully toilet trained
• Almost
• Not attempted

Which days and how many hours of childcare do you prefer?

Special requirements e.g. Illness/ allergies / food

Your Name (Guardian) *

First

Last

Email *

Contact No.

How Did You Hear About Us? *

If you have had a referral from someone, we would like to thank them

Name of referee

Submit