Initial Interest - Registration FormMUST BE COMPLETED TO BE SENT A FUNDED APPLICATION PACK Parent's Name * First Name Last Name Email * Child's Name * First Name Last Name Child's Date of Birth * MM DD YYYY Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### How did you hear about us? Word of Mouth Previous Parent Google search Facebook Other Any further comments Thank you for completing our initial registration form. This will ensure that we will forward to you a funded application form to you prior to your child turning 3yrs (normally in the January before the August start date).This is not a guarantee of a place but informs us that you are interested in your child starting with us. Any queries please email info@duchal.com