• Kindergarten Registration Form

  • Thank you for choosing Combined Preschools of Southern Grampians for the care and education of your child.

    Should you require any assistance completing this registration form please call our office on 5579 5920.

    IMPORTANT - PLEASE READ

    You are required to complete a Kindergarten Registration Form to register your child.

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

    This is a registration form only, not a guarantee of a kindergarten place. Registrations are not prioritised by date entry and priority of access criteria applies.

    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 (e.g. birth certificate or passport) to finalise your registration. If you do not have a birth certificate, please contact the office on 5579 5920.

    For 2027, kindergarten days and session times will change at some services due to the increased hours for four-year-olds. This is expected to impact staffing, and scheduling across the service. Days and times of kindergarten programs will be finalised once enrolment numbers are confirmed.

  • Kindergarten Preferences

  • Date
     - -
  • 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 click here 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.

    • 2025 and Beyond 
    • Hamilton Kindergarten Services

      CPSG manages 3 services in Hamilton. Should you wish to register for any of these services, please select Hamilton Kindergarten Services, where you will then be required to nominate the kindergartens in order of preference.

       
       
       
       
    • 2024 
    • Hamilton Kindergarten Services

      CPSG manages 3 services in Hamilton. Should you wish to register for any of these services, please select Hamilton Kindergarten Services, where you will then be required to nominate the kindergartens in order of preference.

       
       
       
       
       
    • End Collapse 
    • Please select a unique service for each preference.

    • Child Information

    • Date of Birth*
       - -
    • Gender*
    • Child's living arrangement*
    • 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):*
    • 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.

    • Address*
    • Does Parent / Guardian 1 hold a Commonwealth Health Care Card?*
    • Health Care Expiry Date*
       - -
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    • Does Parent / Guardian 1 hold a Commonwealth Pensioner Concession Card?*
    • Pensioner Card Expiry Date*
       - -
    • Browse Files
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    • Does Parent / Guardian 1 hold a Veterans Affairs Card?*
    • Department of Veterans Affairs Expiry Date*
       - -
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    • Does Parent / Guardian 1 have a NDIS number or are they undergoing assessment for disability under the NDIS currently?*
    • Parent / Guardian 1 - Complex medical needs

      Please note: You will be required to provide supporting evidence in the ongoing care, treatment or support of the parent or carer by a medical practitioner, specialist, psychologist, psychiatrist, or allied health professional.

    • Does Parent / Guardian 1 have a significant health, disability-related or a complex medical condition that requires multiple supports, which considerably affect your child’s access to or participation in a kindergarten program?*
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    • Priority of Access

    • In instances where more eligible children apply for a place at a kindergarten service than there are places available, CPSG must prioritise children based on the Department of Education's priority of access criteria and work with other local kindergarten services and the local Early Childhood Improvement Branch (ECIB) to ensure all eligible children have access to a kindergarten place.

    • Do you or your child identify as Aboriginal or Torres Strait Islander?*
    • Children or family at risk

      This is defined as

      • Experiencing family violence or has had contact with The Orange Door
      • Known to or had contact with Child Protection or in Out-of-Home-Care
      • Child or family previously accessed Flexible Support Packages
      • Referred by Child Protection, Child and Family services, MCH nurse, Out of Home Care provider
    • Is your child at risk of abuse or neglect, including children in out-of-home care?*
    • If yes, please select from the following:*
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    • Is your family from a refugee or asylum seeker background?*
    • Do you or your child have, or are you applying for, any of the following visas?*
    • Browse Files
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    • Does your child hold a Commonwealth or Disability Health Care Card?*
    • Health Care Expiry Date*
       - -
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    • Is this child a multiple birth (triplet or quadruplet or more)?*
    • Does the child have an identified developmental delay or disability including intellectual, sensory or physical impairment?*
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    • Does your child have any additional needs?*
    • If yes, please select which of the following applies*
    • Is your child registered with a specific Support service / agency?*
    • Is your child currently enrolled or attending kindergarten at a NON - CPSG service
    • Does your child have siblings that have previously attended your preferred kindergarten in the last three years?*
    • Second Year of Funded Kindergarten

      Children enrolled in a funded kindergarten program are eligible to access a repeat year of funded 3 or 4 year old kindergarten, only if the early childhood teacher has assessed eligibility for your child to be considered for a second year.

    • Is your child applying for a second year of funded {servicevicepreference_program-type}?
    • Has your child been immunised and is the schedule up to date? *
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    • Registration Fee

      A $50 non-refundable per-family registration fee must accompany your child’s application (not applicable to concession card holders)
    • The registration fee is an annual $50 per family. Have you already paid this fee once, for this relevant year of registration?
    • Please click next to complete payment using credit card. 

    • Authorisation and Declaration

      By submitting this registration, the parent/guardian:

      • is the lawful authority of the child referred to in this registration form;
      • declares that the information provided in this form is true and correct and undertake to immediately inform CPSG in the event of any change to this information; and
      • understands that this is a registration form, not a guarantee of placement. Offers for kindergarten places will be made in the August / September prior to the application year.
    • Your Privacy

      CPSG considers that the responsible handling of personal information is a key aspect of democratic governance and is strongly committed to protecting an individual’s right to privacy.  CPSG will comply with the information Privacy Principles as set out in the Information Privacy Act, 2000.  The personal information required on forms used will only be used for the purpose of provision of Early Years services.  The information will not be disclosed to any other party unless CPSG is required to do so by law.  You can view and change the information by contacting the individual kindergarten or the Executive Officer on 5579 5920 or by emailing info@cpsg.org.au.

    • Please make a bank deposit to the Combined Preschools of Southern Grampians account and provide EFT reference below.

      Account:                  Combined Preschools of Southern Grampians
      BSB:                         633000
      Account Number:  146 749 635
      Reference:               Child’s surname
      Amount:                  $50.00

    • Payment Date
       - -
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    • Does Parent / Guardian 2 hold a Commonwealth Health Care Card?
    • Health Care Expiry Date*
       - -
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    • Does Parent / Guardian 2 hold a Commonwealth Pensioner Concession Card?
    • Pensioner Card Expiry Date*
       - -
    • Browse Files
      Cancelof
    • Does Parent / Guardian 2 hold a Veterans Affairs Card?
    • Department of Veterans Affairs Expiry Date*
       - -
    • Browse Files
      Cancelof
    • Does Parent / Guardian 2 have a NDIS number or are they undergoing assessment for disability under the NDIS currently?*
    • Does Parent / Guardian 2 have complex medical needs that present barriers to accessing a kindergarten program (supported by a letter from a medical practitioner or specialist)?*
    • 0/230
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    • Pension Card Expiry Date
       - -
    • Please indicate which of the following applies:
    • Please indicate if you hold any of the following concessions, or meet one of the following criteria:
    • Should be Empty: