Application Form - Geelong West

If you would like to place your child on the waitlist at Geelong West Kindergarten please complete the following form.

Enrolment applications are now accepted 2 years before your child is eligible to attend our kindergarten.

Families with children born between January and April can choose which year to start Three-Year-Old kindergarten. These children can start in the same year they turn three, or in the year they turn four years of age. For three year old kindergarten, your child will not be able to attend kindergarten sessions until after their 3rd birthday.

Due to the Best Start, Best Life reform, the Victorian Government is providing Free Kinder for 15 hours of 4 year old kindergarten and 5-15 hours of 3 year old kindergarten programs from 2023. This means that no term fees will be charged. For more information go to https://www.vic.gov.au/give-your-child-the-best-start-in-life#free-kinder-in-2023.

At the end you will be asked to pay a non-refundable $30 application fee via credit card.

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

Would you like to add 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 Geelong West Kindergarten? *

What program type is this application relevant to? *

Have you had a child attend Geelong West Kindergarten in the past?*

YesNo

Names of your other children that have attended Geelong West Kindergarten

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

Are your child's immunisation up to date?*

YesNo

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 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 Geelong West 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: https://www.education.vic.gov.au/parents/child-care-kindergarten/Pages/how-much-kindergarten-cost.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.

Has your child had contact with Child Protection?

YesNo

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

YesNo

Name of support service / agency:

Geelong West Kindergarten Application Fee$30.00AUD

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

Geelong West Kindergarten Application Form

Enrolment & Immunisations

Kinder Fee Subsidy

Children with Special Needs

Application Fee