Enrolment Bank Details Form - Gordon Community Preschool

Gordon Community Preschool Enrolment Bank Details Form
Throughout 2020, the Australian Government has announced new funding arrangements for the early childhood education and care (ECEC) sector in response to the coronavirus (COVID-19) pandemic and its impact on child care enrolments and attendance. It is not yet known what announcements may be made during 2021 and whether these announcements will make some services fee-free for families.
Gordon Community Preschool Board may determine from time-to-time throughout 2021 that part or all fees and levies paid for during Terms 1 – 4 may need to be refunded in response to Australian Government announcements. To expedite the refunds in these circumstances we are seeking the details of the Bank Account that fees and levies may be returned to for your Child’s Enrolment.
Please note: All details on this form are encrypted.
Details of the Child/Children Enrolling in GCP
Please note: If you have more than one child attending GCP you need only submit this form once by adding all children on the one form.
Child's Name (1)*
First NameLast Name
Child's Date of Birth (1)*
DayMonthYear
Date
Number of Children attending GCP*
The child above is my only child currently attending GCPI have an additional child currently attending GCP (total 2)I have an additional 2 children currently attending GCP (total 3)
Child's Name (2)
First NameLast Name
Child's Date of Birth (2)
DayMonthYear
Date
Child's Name (3)
First NameLast Name
Child's Date of Birth (3)
DayMonthYear
Date
Details of Personal Bank Account for Full/Partial Fee Refunds
This person must have authorisation to request the refund for the child/children listed above. This person must be an existing Parent or Guardian on the child/children's enrolment form.
Parent/Guardian Name*
First NameLast Name
Parent/Guardian Phone Contact*
Area CodePhone Number
Parent/Guardian Email*
Submit a valid email address for a copy of your Request for Refund
Bank Account Details for the Refund
This is the Bank Account to which any funds will be refunded. The account holder must have authorisation to receive this refund on behalf of the Parents/Guardians. Please Note: If these bank details change during the 2021 Calendar Year please advise accounts@gordonpreschool.com.au immediately.
Bank*
Bank (Other)
If you selected 'OTHER, Not Listed' above you must complete this field.
BSB Number*
Enter the 6 digit BSB Number without spaces.
Account Number*
Enter the 6-10 digit Account Number without spaces.
Bank Account Name*
e.g. Ms AB Citizen
Declaration of Authority*
I declare that I have the authority to request any refunds, and the authority to receive the funds directly into the Bank Account provided on this form.
Declaration of Information*
I declare the information I have provided herein is true and correct.
Parent/Guardian Signature*
Clear
Should be Empty:

Gordon Community Preschool Enrolment Bank Details Form

Details of the Child/Children Enrolling in GCP

Details of Personal Bank Account for Full/Partial Fee Refunds

Bank Account Details for the Refund