Kingston Council Application Form

City of Kingston

Central Registration for Funded Kindergarten Form
Deferral Form

Yes
The Central Registration Scheme for Funded Kindergarten is administered by the City of Kingston on behalf of participating sessional kindergarten services. This includes services that are operated by the City of Kingston, volunteer committees or early years managers in Kingston.

This central registration process applies to funded three and four-year-old sessional kindergarten only.

Funded kindergarten registrations are prioritised based on
- Victorian State Government's Kindergarten Guidelines
- the child's residential proximity
- prior connection to the service of their first preference.
When completing this registration form you’ll need to provide information that confirms the following:
- Your child’s date of birth
- Your child’s residential address
And where relevant:
- That you work, study or use childcare in the City of Kingston if you are not a resident of Kingston
- That you or your child has a current Health Care or Pension Card.
A non-refundable fee of $25 is required with each registration. There is no charge for families who are eligible for a kindergarten fee subsidy.

Please note, this is a registration form only and does not guarantee a kindergarten placement.
Child's Details
Child's Name *

First Name Last Name
Gender *

Male Female Unspecified
Child's Date of Birth *

Day Month Year
Please attach confirmation of your child’s date of birth *

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Child's Residential Address *

Street Address

Street Address Line 2

City State

Post Code
Primary language spoken at home *
What year would you like your child to commence kindergarten? *
What program type is this application relevant to? *
Note: Three and four-year-old kindergarten places are allocated separately. We will contact you towards the end of {service-preferences_care-period} to ask you to indicate if {child_Name} will be attending kindergarten in the following year. We will make every effort to place your child at the same service for four-year-old kindergarten. Unfortunately, we aren’t able to guarantee this.
Parent's Details
Parent / Guardian 1 *

First Name Last Name
Relationship to the child *
Residential Address *

Street Address

Street Address Line 2

City State

Post Code
Phone Number *
Mobile preferred
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 *
Parent / Guardian 2 Address *

Same as parent / guardian 1 Different to parent / guardian 1
Residential Address *

Street Address

Street Address Line 2

City State

Post Code
Phone Number *
Mobile preferred
Email *
Please Note: You will be notified of all correspondence via email
Kindergarten Preferences
Preference One *
Preference Two
Preference Three
Please comment below if you have any requests for the days/times/groups you wish for your child to attend kindergarten
Additional information about your child
By completing the following information, you will help our team support your family. This information will also be used to access priority of access for a kindergarten placement
Department of Education and Training 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 / 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
Health Care Number *
Health Care expiry date *

Day Month Year
Pensioner Number *
Pension Card Expiry Date *

Day Month Year
Please attach a copy of your concession / visa *

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Please note: The eligibility of concessions may vary from time-to-time. Up-to-date information can be found here.
Are you applying for a second year of kindergarten for your child as recommended by their teacher and approved by the Department of Education and Training? *

Yes No
Does your child have any additional needs *

Yes No
If yes, please specify *
max 255 characters
Is your child registered with a specific Support service / agency? *

Yes No
Name of support service / agency *
max 255 characters
Please provide details of your case workers name and contact details *
max 255 characters
Is this child or family known to child protection? *

Yes No
Are there any court orders relating to the powers, duties, responsibilities or authorities of any person in relation to the child or access to the child? *

Yes No
Please attach a copy of relevant documentation *

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Allocation Criteria
Has your child or an older sibling attended the service of your first preference in the last 3 years? *

Yes No
Child/Sibling Name *
eg. Billie Smith
Year *
Child/Sibling Name
eg. Billie Smith
Year
Are you a resident of the City of Kingston? *

Yes No
Please attach proof of residential address *

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Do you have a connection to the City of Kingston through work, study or childcare? *

Yes No
Do you live, work or study in the City of Kingston?

Yes No
Please attach proof of work/study/childcare *

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Authorisation and Declaration
By submitting this registration form, I understand and agree to the following:
- All information provided by me is true and correct
- All information provided by me may be audited at any time. This registration or subsequent kindergarten allocation could be reallocated or withdrawn if the information is incorrect
- Failure to provide complete and correct information may result in the registration being excluded from the allocation process
- This is a registration form and does not guarantee a three or four-year-old kindergarten placement
- Three and four-year-old kindergarten places are allocated separately. Every effort will be made to place my child at the same service for four-year-old kindergarten. However, there is no guarantee of this.
- I can be contacted by Council from time to time with information regarding relevant events, issues and services
- To participate in the Central Registration Scheme my personal information can be shared securely with my preferred kindergarten service provider
Privacy Statement

Personal information collected by Kingston City Council is used for municipal purposes as specified in the Local Government Act 1989. The personal information you provide will be used solely by Council for the purpose of the Central Registration Scheme for Funded Kindergarten. Council may disclose this information to other organisations if required by law. The applicant understands that the personal information provided is for the above purpose and that he or she may apply to Council for access to and/or amendment of the information. Requests for access and or correction should be made to Council's Privacy Officer. To view a full copy of Kingston's Privacy Policy please click here or visit one of our customer service centres.
Non Refundable Kindergarten Registration Fee

Payment of a non-refundable fee of $25 is required with each registration. There is no charge for families who are eligible for a kindergarten fee subsidy. Please click pay now to complete payment.
Registration Fee Amount
Already Paid?

Yes
Registration Fee amount *

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City of Kingston

Child's Details

Parent's Details

Kindergarten Preferences

Additional information about your child

Allocation Criteria

Authorisation and Declaration