Kindergarten Application - Birregurra

Birregurra Preschool Centre

Application Form
If you would like to place your child on the waitlist at Birregurra Preschool Centre please complete the following form.

Please Note: we will accept applications anytime in the year your child turns two.
internal_hide
Deferral Form
Child's Name

First NameLast Name
Gender
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
Address

Street Address

Street Address Line 2

CityState

Post Code
Phone Number
Email
Please Note: You will be notified of all correspondence via email
Would you like to add a second parent / guardian?
Parent / Guardian 2

First NameLast Name
Relationship to the child
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
Language/s spoken at home:
(Mapped) What year would you like your child to commence at Birregurra Preschool Centre?
What year would you like your child to commence at Birregurra Preschool Centre?
(Internal) What year would you like your child to commence at Birregurra Preschool Centre?
What program type is this application relevant to?
Do you have children that have previously attended Birregurra Preschool Centre?
Names of your other children that have attended Birregurra Preschool Centre
Does this child have a sibling who has previously attended this Kindergarten?
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?
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:
Supporting documentation will need to be sighted on commencement at Birregurra Preschool Centre 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 Special Needs
Does your child have additional needs
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?
Name of support service / agency:
Is this child or family known to child protection?
Already Paid?
Payment Name
Amount
Payment Type
Payment Reference Number
Form Name
Should be Empty:

Birregurra Preschool Centre

Enrolment & Immunisations

Kinder Fee Subsidy

Children with Special Needs