Application Form - Almost French

Almost French Kindergarten Application Form
Welcome to Almost French Kindergarten!

Before enrolling your child on the waiting list, make sure you read the information about the program available on the Almost French website.
A non-refundable fee of $25 is required to secure a place on the waiting list.

More details at the end of this form.
Deferral Form

Yes
Child's Name *

First Name Last Name
Gender *

Male Female Unspecified
Child's Date of Birth *

Day Month Year
Address *

Street Address

Street Address Line 2

City State

Post Code
Parent / Guardian 1 *

First Name Last Name
Relationship to the child *
Address

Same as child Different address
Address *

Street Address

Street Address Line 2

City State

Post Code
Phone Number *
Email *
Please Note: You will be notified of all correspondence via email
Does this child have a second Parent / Guardian? *

Yes No
Parent / Guardian 2 *

First Name Last Name
Relationship to the child *
Address *

Same as child Different address
Address *

Street Address

Street Address Line 2

City State

Post Code
Phone Number *
Email *
Please Note: You will be notified of all correspondence via email
Languages/s spoken at home: *

French English
Language/s spoken at home:
What is the level of French of your child?

Bilingual Intermediate Beginner Do not speak or understand French
What is the level of French of the parent

Bilingual Bilingual/Native Intermediate Beginner Do not speak or understand French
Please comment
What year would you like your child to commence at Almost French Kindergarten? *
Your child must turn 3 years of age before 30/4 in the year of attendance
What program type is this application relevant to? *
Program Timetable & Expression of Interest

Group	Day	Time
Coccinelles - Port Melbourne	Tuesday Wednesday	8:30am - 4:30pm
Grenouilles - Port Melbourne	Thursday Friday	8:30am - 4:30pm
Abeilles - South Yarra	Tuesday Wednesday	8:30am - 4:30pm
Papillons - South Yarra	Thursday Friday	8:30am - 4:30pm

Programs are held at the venues below:

Port Melbourne – Bubup Womindjeka Family And Children’s Centre – 85 Liardet Street, Port Melbourne, Victoria, 3207

South Yarra – St Joseph’s Parish- 50 Fitzgerald Street, South Yarra, Victoria, 3141

Please indicate which programs you are interested in your child attending. (please tick as many programs as you are interested in): *

Coccinelles - Port Melbourne Grenouilles - Port Melbourne Abeilles - South Yarra Papillons - South Yarra
Please select your first preference: *
Does the child have siblings? *

Yes No
Names of your other children and have they attended Almost French Kindergarten *
Does this child have a sibling who has previously attended this Kindergarten?

Yes No
Does your child attend another childcare/kinder service?

Yes No
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? *

Yes No
Kinder Fee Subsidy
Concessions Question_maps to child for squirrel development

Health Care Card Pensioner Concession Card DVA Gold 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
Supporting documentation will need to be sighted on commencement at Almost French 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 Additional Needs
Does your child have any allergies? *

Yes No
Please provide details (allergies and treatment)
Does your child have any additional needs? *

Yes No
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? *

Yes No
Name of support service / agency:
Waitlist Fee

At this stage your child will be added to our waiting list. We will contact you in July before your child is due to start. Being on the waiting list does not mean your child will get a place into the program. A non-refundable fee of $25 is required to secure a place in the waiting list.

Already Paid?

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

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

Almost French Kindergarten Application Form

Program Timetable & Expression of Interest

Enrolment & Immunisations

Kinder Fee Subsidy

Children with Additional Needs

Waitlist Fee