Lilian Cannam Kindergarten - Application Form

This application places your child’s name on our enrolment waitlist only. If a place becomes available you will be contacted by email and offered a provisional place for your child at Lilian Cannam Kindergarten.

3 Year old program: Your child must turn 3 by the 30th of April in the year you select for 3 year old kindergarten. You child will not be allowed to start at kindergarten until they turn 3 year olds. For example, if your child turns 3 in March they will not be able to start kinder until their birthday even though the kindergarten term starts in February.

4 Year old program: Your child must turn 4 by the 30th of April in the year you select for 4 year old kindergarten. Please also note that our 4 year old program is partially funded by the government and that there is no guarantee your child will receive funding if they repeat 4 year old kindergarten. Parents are advised to consider this carefully and contact the kindergarten if they are unsure whether to waitlist for the 3 or 4 year old program. The fees for an unfunded place are substantially different to those listed under our fee section.

Administration fee: There is a $50 non-refundable administration fee which must be paid via the link below. Your application will not be registered without payment of the administration fee.

Confirmation of application: You will be sent an email acknowledging that we have received your application and that you have been placed on the enrolment waitlist. Please keep this email as proof of payment.

Personal details: It is your responsibility to advise the kindergarten via email enrolments@liliancannam.com.au if your personal details change.

Please contact us if you would like to tour the kindergarten, 03) 9699 3695.

Deferral Form

Yes

Child's Name*

First NameLast Name

Gender*

MaleFemaleUnspecified

Child's Date of Birth*

Address*

Street Address

Street Address Line 2

CityState

Post Code

Parent / Guardian 1*

First NameLast Name

Relationship to the child*

Address

Same as childDifferent address

Address*

Street Address

Street Address Line 2

CityState

Post Code

Phone Number*

Email*

Please Note: You will be notified of all correspondence via email

Does this child have a second parent / guardian?*

YesNo

Parent / Guardian 2*

First NameLast Name

Relationship to the child*

Address*

Same as childDifferent address

Address*

Street Address

Street Address Line 2

CityState

Post Code

Phone Number*

Email*

Please Note: You will be notified of all correspondence via email

Language/s spoken at home:

What year would you like your child to commence at Lilian Cannam Kindergarten? *

What program type is this application relevant to? *

Please note if you register your child for the 3 year old program we will automatically register them for the 4 year old program the following year.

Do you have children that have previously attended Lilian Cannam Kindergarten?*

YesNo

Names of your other children that have attended Lilian Cannam Kindergarten :

Does this child have a sibling who has previously attended this Kindergarten?

YesNo

Enrolment and immunisations: The Government’s No Jab No Play laws require all children to be age-appropriately immunised before enrolment can be confirmed.

Parents/guardians offered tentative places will be asked to provide immunisation documentation to Lilian Cannam Kindergarten by December that shows that their child's immunisations are up to date for their age or that an exemption applies.

Confirmation of places is finalised after the documentation has been assessed that the child is up to date or that the child is on a recognised catch-up schedule if they have fallen behind with their vaccinations, or that the child has a medical reason not to be vaccinated or that the child has been assessed as being eligible for a 16 week grace period.

Further information on immunisation requirements for enrolment is available on the State Government's Better Health Channel at Better Health website

Are your child's immunisation up to date?*

YesNo

DEECD provides a fee subsidy for eligible families. Please indicate if you are eligible for one of the following concessions, or meet one of the following criteria: Supporting documentation will need to be sighted on commencement.

Health Care CardPensioner Concession CardDVA Gold CardBridging Visas A – FTemporary Protection/Humanitarian Visas 447, 451, 785 or 786Resolution of Status Visa (RoS) Visa Class CD, Subclass 851Refugee and Special Humanitarian Visas 200–217Triplets or QuadrupletsAboriginal or Torres Strait Islander

Supporting documentation will need to be sighted on commencement at Lilian Cannam Kindergarten by the Enrolments Officer.

Please note: The eligibility of concessions may vary from time-to-time. Up-to-date information can be found at: www.education.vic.gov.au/childhood/parents/support/Pages/financialassist.aspx

Does your child have any special needs*

YesNo

If yes, please specify:*

You are encouraged to discuss your child's needs with the educator when your child's place is confirmed.

Is your child registered with a specific Support service / agency?*

YesNo

Name of support service / agency:

Lilian Cannam Kindergarten Waitlist Fee$50.80AUD

Inclusive of 1.6% processing fee

Total $0.00AUD

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Already Paid?

Yes

Payment Name

Amount

Payment Type

Payment Reference Number

Form Name

Lilian Cannam Kindergarten Application Form

Enrolment & Immunisations

Kinder Fee Subsidy

Children with Special Needs

Enrolment Administration Fee