BawBaw Kindergarten Application and PPF Form

Baw Baw Shire Kindergarten Application Form
Deferral Form

Yes

Child Details
Child's Name*

First NameLast Name
Gender*

MaleFemaleUnspecified
Child's Date of Birth*

DayMonthYear
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
Due to the State Government policy No Jab No Play your child may not secure an enrolment place in a funded Kindergarten program if proof of immunisation cannot be provided.
Parent Details
Parent / Guardian 1*

First NameLast Name
Relationship to the child*
Address*

Street Address

Street Address Line 2

CityState

Post Code
Phone Number*
Email*
Please Note: You will be notified of all correspondence via email, please use an email address that is regularly monitored.
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
Address*

Street Address

Street Address Line 2

CityState

Post Code
Phone Number*
Email*
Please Note: Parent 2 is registering for enquiry purposes only. No placement correspondence will be emailed directly for actioning.
Language/s spoken at home:
Is an interpreter required?

YesNo
Residency
Are you a resident of BawBaw Shire?

YesNo
Non Baw Baw Shire residents will not be considered for first round offers unless they can show evidence.
Are you moving to the Shire ?

YesNo
Date Moving to Area*

DayMonthYear
Add Evidence of moving to Baw Baw Shire*

Browse Files

Cancelof
Does your child attend child care within the Shire ?

YesNo
Current Care Arrangements*
Add evidence for Care Arrangements*

Browse Files

Cancelof
Applying to attend a specific kinder outside my Municipality ?

YesNo
You are considered a non resident of Baw Baw Shire. Your application will be accepted and allocated after the 1st round offers have been completed.
Does this child have a sibling who has previously attended this Kindergarten?

YesNo
Kindergarten Preferences
What year would you like your child to start kindergarten? *
Next Year Test?
Date

DayMonthYear
Date
What year would you like your child to start kindergarten? *
2022 Applications for three and four year old programs are still being accepted. There are limited vacancies for remainder of this year, if you need to discuss availability please call the Kindergarten Enrolment Officer ph. 56242802.
What program type is this application relevant to?*
Does this child identify as Aboriginal / Torres Strait Islander?*

AboriginalTorres Strait IslanderBoth Aboriginal and Torres Strait IslanderNone of the above
Is your child or family known to child protection or connected with Department of Families, Fairness and Housing or any other support services (eg Orange Door)?*

YesNo
Both ESK Questions Answered?

Yes
Your child qualifies for Early Start Kindergarten which enables you to access 15 hour of free Kindergarten program. If 15 hours is not available within a 3 year old program this may be offered in a 4 year old program.
As you are eligible for Early Start Kindergarten, do wish to enrol as an Early Start enrolment?

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:

Commonwealth Health Care CardCommonwealth Pensioner Concession CardRefugee visa (subclass 200)In-country Special Humanitarian visa (subclass 201)Global Special Humanitarian visa (subclass 202)Temporary Humanitarian Concern visa (subclass 786)Protection visa (subclass 866)Emergency Rescue visa (subclass 203)Woman at risk visa (subclass 204)Bridging visa A-E for humanitarian or refugee visaHumanitarian Stay visa (subclass 449)Temporary Protection visa (subclass 785)Safe Haven Enterprise visa (subclass 790)Department of Veterans Affairs (DVA) Gold Card or White CardTriplets or QuadrupletsAboriginal or Torres Strait IslanderCurrent or expired ImmiCard
Health Care Number*
Health Care expiry date*

DayMonthYear
Pensioner Number*
Pension Card Expiry Date

DayMonthYear
Supporting documentation will need to be sighted on commencement at Kindergarten.

Please note: The eligibility of concessions may vary from time-to-time. Up-to-date information can be found at: www.education.vic.gov.au/childhood/parents/support/Pages/financialassist.aspx
Please note: Your child qualifies for Early Start Kindergarten which enables you to access 15 hours of free care in one of our 4 Year Old kindergarten programs.
Would you like to register for a Free 4 Year Old Program?

YesNo

Collapse Stopper
Please select a unique session time for each preference.
Additional Information
Does your child have any additional 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:*
Please provide supporting documentation if available

Browse Files

Cancelof
Does the child have a sibling (not multiple birth) who previously attended your preferred kindergarten OR a connected school in the last 2 years?*

YesNo
Last Year of Attendance (i.e. 2022 or 2023)*
Kindergarten or Connected School*
Sibling Name*

First NameLast Name
Other Details

0/250
Declaration
In making this application you are:
- Acknowledging that the Council accepts this application on behalf of participating kindergartens but gives no guarantee that a place will be available in the kindergarten nominated or in any other kindergarten in the municipality; and
- Confirming that if a previous application has been made to Baw Baw Shire Council you agree that your most recent (last) application will be considered only; and
- Acknowledging that the Council will be using data from this application for future planning which may include waiting lists between kindergartens.
Privacy notification: The personal and health information collected on this form is being collected by the Council for the purposes of planning current and future kindergarten services in Baw Baw Shire. The information will be used solely by Council and its contract service providers and external Government Agencies for that purpose or a directly related purpose. The information shall remain private and confidential within Council and will only be disclosed to other persons or agencies as consented by the enrolling parent or the authorised parent/guardian. The applicant understands that the personal and health information provided is for the placement of children in kindergarten services in Baw Baw Shire and they may apply to Council's Privacy Officer in writing for access to and/or amendment of the information.
Please verify that you are human*
Already Paid?

Yes
Would you like to pause the confirmation email send for this change?
Application Fee

A non refundable application fee is payable for all applications. Should you be unable to pay via credit card please contact Family & Children’s Services on (03) 5624 2540 to arrange an alternate payment method.

Child_Address

Street Address

Street Address Line 2

CityState

Post Code
Payment Name
Amount
Payment Type
Payment Reference Number
Submission Date

DayMonthYear
Date
Time

:HourMinutesAM/PM Option
Unique Submission
Unique?
Internal Submission?
form_name
Should be Empty:

Born Between	Year Eligible for 4YO	Year Eligible for 3YO
1.5.2019 - 30.4.2020	2024
1.5.2020 - 30.4.2021		2024

Grace Berglund Kindergarten	3YO Group	Friday 9.00am – 2.00pm
St Andrews Kindergarten (Warragul)	Group A	Monday 8.30am – 4:00pm Wednesday 8.30am – 4:00pm
	Group B	Tuesday 8:30an - 4:00pm Thursday 8:30am - 4:00pm
	Group C	Friday 9:00am - 2:00pm
Warragul Community Pre-School (Mouritz Street)	Yellow Group	Monday 9.00am – 2.00pm
	Green Group	Friday 9.00am – 2.00pm
Warragul Primary Early Learning Centre	3YO Group	Monday 9.00am – 2.00pm Wednesday 9.00am – 2.00pm Friday 9.00am – 2.00pm

Drouin Primary Early Learning Centre	Red Group	Thursday 9:00am – 2:00pm Friday 9:00 am – 2:00pm
	3YO Purple Group	Tuesday 8.30am – 4.00pm Thursday 8.30am – 4.00pm
Oak Street Kindergarten (Drouin)	Orange Group	Monday 9.00am – 2.00pm
	Yellow Group	Wednesday 9.00am – 2.00pm
	3YO Red Group	Thursday 8.15am – 3.45pm Friday 8.15am – 3.45pm
	3YO Blue Group	Tuesday 8.15am - 3.45pm Wednesday 8.15am - 3.45pm
Drouin Kindergarten (Adam Court)	3YO Group	Friday 8.30am – 1.30 pm
Drouin West Primary ELC	3YO Group	Tuesday 8.45am – 1.45pm Wednesday 8.45am – 1.45pm Friday 8.45am – 1.45pm

Trafalgar Primary Early Learning Centre	Purple	Monday 9.00am – 2.00pm Tuesday 9.00am – 2.00pm Wednesday 9.00am – 2.00pm
	Orange	Tuesday 9.00am – 2.00pm Wednesday 9.00am – 2.00pm Thursday 9.00am – 2.00pm
	Yellow	Wednesday 9.00am – 2.00pm Thursday 9.00am – 2.00pm Friday 9.00am – 2.00pm
	Silver	Monday 9.00am – 2.00pm Tuesday 9.00am – 2.00pm Friday 9.00am – 2.00pm
	3YO Blue	Monday 9.00am – 2.00pm Thursday 9.00am – 2.00pm Friday 9.00am – 2.00pm

Longwarry Kindergarten	3YO Group	Monday 9.00am – 2.00pm Wednesday 9.00am – 2.00pm Friday 9.00am – 2.00pm
Mary Beck Preschool (Neerim South)	3YO Group	Monday 8.45am – 1.45pm Friday 8.45am – 1.45pm
Thorpdale and District Kindergarten (An integrated program with 4 year old group)	3YO Group	Monday 9.00am – 2.00pm Tuesday 9.00am – 2.00pm Thursday 9.00am – 2.00pm
Willow Grove Kindergarten (An integrated program with 4 year old group)	3YO Group	Tuesday 8.45am – 1.45pm Wednesday 8.45am – 1.45pm Thursday 8.45am – 1.45pm
Erica Preschool (An integrated program with 4 year old group)	3YO Group	Monday 9:30am – 2:30pm Tuesday 9:30am – 2:30pm Thursday 9:30am – 2:30pm (Bush Kinder)

Baw Baw Shire Kindergarten Application Form

Child Details

Parent Details

Residency

Kindergarten Preferences

Kinder Fee Subsidy

3 Year Old Kindergartens-Preferences

4 Year Old Kindergarten - Preferences

2024 Kindergarten Session Times

3 Year Old Kindergarten - Preferences

2024 Kindergarten Session Times

4 Year Old Kindergartens - Preferences

Additional Information

Declaration

Application Fee

Grace Berglund Kindergarten	Blue Group	Monday 8.30am – 4.00pm Tuesday 8.30am – 4.00pm
	Green Group	Wednesday 8.30am – 4.00pm Thursday 8.30am – 4.00pm
St Andrews Kindergarten (Warragul)	Red Group	Monday 8.30am – 4.00pm Wednesday 8.30am – 4.00pm
Warragul Community Pre-School (Mouritz Street)	Red Group	Thursday 8.30am - 4.00pm Friday 8.30am - 4.00pm
	Blue Group	Tuesday 8.30am - 4.00pm Wednesday 8.30am - 4.00pm
	Purple Group	Monday 8.30am – 4.00pm Wednesday 8.30am – 4.00pm
	Orange Group	Tuesday 8.30am – 4.00pm Thursday 8.30am – 4.00pm
Warragul Primary Early Learning Centre	4YO Group	Monday 8.45am – 1.45pm Tuesday 8.45am – 1.45pm Wednesday 8.45am – 1.45pm

Trafalgar Kindergarten	Red Group	Monday 9.00am – 2.00pm Wednesday 9.00am – 2.00pm Friday 9.00am – 2.00pm
	Green Group	Tuesday 8.30am – 4.00pm Thursday 8.30am – 4.00pm

Yarragon Early Learning Centre	Red Group	Monday 8.30am – 4.00pm Wednesday 8.30am – 4.00pm
	Blue Group ^	Tuesday 8.30am – 4.00pm Thursay 8.30am – 4.00pm

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