Application Form - Burwood Heights PS Kinder

Kindergarten Expression of Interest Form

Burwood Heights Primary School Kindergarten
If you are interested in your child attending Burwood Heights Primary School Kindergarten please complete the following expression of interest form. If you have any questions or would like more information please contact the school and kindergarten via phone 9803 8311 or email burwood.heights.ps@education.vic.gov.au
- To attend the 3 Year Old Program children must turn three before April 30th in the year they will attend.
- Children may commence once they have had their third birthday.
- Children attending the 4 Year Old Program must turn four on or before April 30 in the year they will attend.
- Enrolments can be accepted at any time.
Deferral Form

Yes
Child's Name*

First NameLast Name
Gender*

MaleFemaleUnspecified
Child's Date of Birth*

DayMonthYear
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 Burwood Heights Primary School Kindergarten? *
What program type is this application relevant to?*
Warning: Your Application is unable to be accepted at this time.

Based on the Date of Birth for your child, your registration does not meet the age criteria for the year you have requested.
Do you have children that have previously attended Burwood Heights Primary School Kindergarten?*

YesNo
Names of your other children that have attended Burwood Heights Primary School Kindergarten
Do you work or live in the city of [update here]?

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

YesNo
Enrolment & Immunisations
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
Kinder Fee Subsidy
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 Burwood Heights Primary School 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
Children with Special Needs
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:
Submission of Expression of Interest
Date

DayMonthYear
Date
Cutoff date calculator
Cutoff Date

DayMonthYear
Date
Age as at cutoff
ineligible to apply
Offer_Response
Already Paid?

Yes
Payment Name
Amount
Payment Type
Payment Reference Number
Form Name
Should be Empty:

Kindergarten Expression of Interest Form

Enrolment & Immunisations

Kinder Fee Subsidy

Children with Special Needs

Submission of Expression of Interest