Application Form - Kinderlea

If you would like to place your child on the waitlist at Kinderlea 3 Year Old Preschool please complete the following form.

To be eligible children must turn 3 on or before the 30th of April in the year they are attending.

Please note applications can be placed once your child turns two years old.

To process your application a non refundable $20 application fee is required on completion.

Deferral Form

Yes

Child's Name *

First Name Last Name

Gender *

Male Female Unspecified

Child's Date of Birth *

Address *

Street Address

Street Address Line 2

Suburb State

Post Code

Parent / Guardian 1 *

First Name Last Name

Relationship to the child *

Address

Same as child Different address

Address *

Street Address

Street Address Line 2

City State

Post Code

Phone Number *

Email *

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

Would you like to add a second parent / guardian? *

Yes No

Parent / Guardian 2 *

First Name Last Name

Relationship to the child *

Address *

Same as child Different address

Address *

Street Address

Street Address Line 2

City State

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 Kinderlea? *

Please indicate your preferred program preference *

Our programs for 2021 are currently fully allocated. Please submit an application to remain on our 2021 waitlist and we will contact you if a vacancy becomes available.

WARNING: YOUR APPLICATION IS UNABLE TO BE ACCEPTED ONLINE.

Based on the Date of Birth entered for this child, they will not meet the age criteria for attending in {serviceallocation_care-period}. Please contact us via email to discuss: kinderleaenrolments@kinderlea.com.au

What program type is this application relevant to? *

Do you have children that have previously attended Kinderlea 3 Year Old Preschool? *

Yes No

Names of your other children that have attended Kinderlea 3 Year Old preschool

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

Yes No

Do you live in the city of Knox?

Yes No

Please note: Proof of address or employment in Knox will be required on offer of enrolment.

The Government’s No Jab No Play laws require all children to be age-appropriately immunised before enrolment can be confirmed. Further information on immunisation requirements for enrolment in early childhood services is available on the State Government's Better Health Channel at www.betterhealth.vic.gov.au/campaigns/no-jab-no-play

Is your child's immunisations up to date? *

Yes No

DET 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:

Health Care Card Pensioner Concession Card DVA Gold or White Card Bridging Visas A – F Temporary Protection/Humanitarian Visas 447, 451, 785 or 786 Resolution of Status Visa (RoS) Visa Class CD, Subclass 851 Refugee and Special Humanitarian Visas 200–217 Triplets or Quadruplets Aboriginal or Torres Strait Islander

Supporting documentation will need to be sighted on commencement at Kinderlea by the Enrolment Officer.

Please note: The eligibility of concessions may vary from time-to-time. Up-to-date information can be found at: https://www.education.vic.gov.au/parents/child-care-kindergarten/Pages/how-much-kindergarten-cost.aspx

Does your child have any special needs? *

Yes No

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?

Yes No

Name of support service / agency: *

*

Kinderlea Preschool Application Fee $ 20.00 AUD

Total $ 0.00 AUD

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

Captcha Verification *

Kinderlea 3 Year Old Preschool

Immunisations

Kinder Fee Subsidy

Children with Special Needs

Fees Acknowledgement

Application Fee