CPSG Registration Form- EnrolNow One

Combined Preschools of Southern Grampians

Kindergarten Registration Form
Thank you for choosing Combined Preschools of Southern Grampians for the care and education of your child. We offer 3 and 4-year-old kindergarten programs across all our services. You are required to complete a Kindergarten Registration Form to register your child.

Please note, this is a registration form only, not a guarantee of placement. Registrations are not prioritised by date entry.

If you are enrolling more than one child, you will need to complete a separate registration form for each child.

Free kindergarten is provided for all children.

There is a non-refundable administration fee of $50 per family. There is no charge for families who:
- are Aboriginal and/or Torres Strait Islander, or
- hold or has a parent/guardian who holds a Commonwealth Health Care Card, Pensioner Concession Card, Veteran’s Affairs Card, or
- are a multiple birth child (triplets or more), or
- holds or has a parent/guardian who holds a Humanitarian or Refugee Visa
You will be required to upload evidence of your child’s date of birth (eg. birth certificate or passport) to finalise your registration. If you do not have a birth certificate, please contact the office on 5579 5920.
When to start kindergarten?
- To start three-year-old kindergarten, your child must turn 3 by 30 April in the year they will attend kindergarten
- To start four-year-old kindergarten, your child must turn 4 by 30 April in the year they will attend kindergarten
Children are only eligible for one funded year of three-year-old kindergarten and one funded year of four-year-old kindergarten (unless they meet the eligibility criteria for a second year of four-year-old kindergarten). If you are unsure when the best time is to start your child, or require any assistance in completing your registration, please contact our office on 5579 5920.

Please also note, that days and times of kindergarten programs will be finalised once enrolment numbers are confirmed.

Should you require any assistance completing this registration form please call our office on 5579 5920.
Child Information
Full Name*

Given Name(s)Last Name
Preferred Name
Date of Birth*

DayMonthYear
Date
Gender*

MaleFemaleUnspecified
Address*

Street Address

Street Address Line 2

SuburbState

Post Code
Child's living arrangement*

Both parentsParent / Guardian 1Parent / Guardian 2Formal Kinship CareInformal Kinship CareFoster CarePermanent CareResidential Care
We encourage you to attend your Maternal and Child Health Key Age and Stage consultations with your child. Has your child had their 2-year-old or 3.5-year-old Key Ages and Stages visit (if relevant):*

YesNo
Parent or Guardian Details
Best contact for registration and enrolment:

This could be a parent or guardian but must be someone with lawful authority. Enrolment offers are sent via email. Please ensure your email address and contact phone number are correct and be sure to check your junk email box throughout the registration and enrolment process.
Parent / Guardian Name *

First NameLast Name
Relationship*
Address*

Same as childDifferent address
Parent / Guardian 1 Address*

Street Address

Street Address Line 2

SuburbState

Post Code
Phone Number*
Alternative Phone Number (optional)
E-mail*
We will send all correspondence/emails to the email address you provide. Please ensure you advise us of any changes to your contact details via email at info@cpsg.org.au.
Deferral Form

Yes
form_name
Kindergarten Preferences
What year would you like your child to commence kindergarten? *
NOTE: To be eligible to attend a participating kindergarten program, your child must be three or four years old on or before 30 April in the year that they are to attend the program.
What year would you like your child to commence kindergarten? *
NOTE: To be eligible to attend a participating kindergarten program, your child must be three or four years old on or before 30 April in the year that they are to attend the program.
Year Of Registration (Care Period)*
Date

DayMonthYear
Date
What program do you wish to apply for?*
Note: To be eligible to attend a participating kindergarten program, your child must be three or four-years-old on or before 30 April in the year that they are to attend the program. Please see the CPSG website for further information.

Should your child turn 3 in the year of enrolment, but prior to 30 April, you and your child will be required to attend an interview with the Early Childhood Teacher at your preferred kindergarten.

Combined Preschools of Southern Grampians

Child Information

Parent or Guardian Details

Kindergarten Preferences

Priority of Access

Immunisation

Registration Fee