2022_OLD_ Kingston Council Application Form

City of Kingston

Central Registration for Funded Kindergarten Form
Deferral Form

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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 registrations form you’ll need to provide information on your child’s date of birth 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
- Your child’s residential address
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.

Please contact kindergarten services directly for information about term fees and costs.
Child's Details
Child's Name*

First NameLast Name
Gender*

MaleFemaleUnspecified
Child's Date of Birth*

DayMonthYear
Please attach confirmation of your child’s date of birth*

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Child's Residential Address*

Street Address

Street Address Line 2

SuburbState

Post Code
Primary language spoken at home*
What year would you like your child to commence kindergarten?
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 make every effort to place your child at the same service for four-year-old kindergarten. Unfortunately, we can’t guarantee this.
Children are unable to repeat three-year-old kindergarten and will progress directly to four-year-old kindergarten in the following year.
We will contact you again before we allocate four-year-old kindergarten places to confirm your preferences and details.
Parent's Details
Parent / Guardian 1*

First NameLast Name
Relationship to the child*
Residential Address*

Street Address

Street Address Line 2

SuburbState

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?*

YesNo
Parent / Guardian 2*

First NameLast Name
Relationship to the child*
Parent / Guardian 2 Address*

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

Street Address

Street Address Line 2

SuburbState

Post Code
Phone Number*
Mobile preferred
Email*
Please Note: You will be notified of all correspondence via email
Kindergarten Preferences

Funded sessional kindergarten registrations are prioritised based on the Victorian State Government's Kindergarten Guidelines, the child's residential proximity and prior connection to the service of their first preference
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
Prior Connection
Has your child or an older sibling attended the service of your first preference in the last 3 years?*

YesNo
Child/Sibling Name*
eg. Billie Smith
Year*
Child/Sibling Name
eg. Billie Smith
Year
Do you have a connection to the City of Kingston through work, study or childcare?*

YesNo
Do you live, work or study in the City of Kingston?

YesNo
Please attach proof of work/study/childcare*

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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 CardPensioner Concession CardDVA Gold / White CardBridging Visas A – FTemporary Protection/Humanitarian Visas 447, 451, 785 or 786Humanitarian Stay visa (subclass 449)Safe Haven Enterprise visa (subclass 790)Resolution of Status Visa (RoS) Visa Class CD, Subclass 851Protection visa (subclass 866)Refugee and Special Humanitarian Visas 200–217Triplets or QuadrupletsAboriginal or Torres Strait Islander
Health Care Number*
Health Care expiry date*

DayMonthYear
Pensioner Number*
Pension Card Expiry Date*

DayMonthYear
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.
Does your child have any additional needs*

YesNo
If yes, please specify*
max 255 characters
Is your child registered with a specific Support service / agency?*

YesNo
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?*

YesNo
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?*

YesNo
Please attach a copy of relevant documentation*

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Are you a resident of the City of Kingston?*

YesNo
Please attach proof of residential address*

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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 will be shared securely with the preferred kindergarten service provider nominated by me on this or subsequent forms
Collection Notice

The City of Kingston is committed to protecting your privacy. The personal information requested on this form is being collected by City of Kingston for the purpose of the registration and allocation of funded sessional kindergarten places, to seek updated information regarding kindergarten requirements, to provide updates about the allocation process, to share information about relevant issues and events or any other directly related purpose. The personal information will also be disclosed to the preferred kindergarten service provider nominated on this form, or subsequent forms, for the purpose of allocating children to funded sessional kindergarten places. It will not be disclosed to any other external party without your consent, unless required or authorised by law. To participate in the Central Registration Scheme the personal information collected on this form is required and we will be unable to allocate funded sessional kindergarten places if it isn’t provided. If you wish to alter any of the personal information you have supplied, please contact City of Kingston via telephone 9581 4851 or email kindergartenenrolment@kingston.vic.gov.au
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

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Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

City of Kingston

Child's Details

Parent's Details

Kindergarten Preferences

Prior Connection

2nd Year of 4 Year Old Funding

Additional information about your child

Authorisation and Declaration