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 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
Does this child have 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
Languages/s spoken at home:*

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

BilingualIntermediateBeginnerDo not speak or understand French
What is the level of French of the parent

BilingualBilingual/NativeIntermediateBeginnerDo not speak or understand French
Please comment

0/255
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 MelbourneGrenouilles - Port MelbourneAbeilles - South YarraPapillons - South Yarra
Please select your first preference:
Does the child have siblings?*

YesNo
Names of your other children and have they attended Almost French Kindergarten*
Does this child have a sibling who has previously attended this Kindergarten?

YesNo
Does your child attend another childcare/kinder service?

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
Concessions Question_maps to child for squirrel development

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 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?*

YesNo
Please provide details (allergies and treatment)
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:
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