Kindergarten Application - Birregurra

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.

Important Information

The Department of Education has stated that as of 2022 children will no longer be able to have a second year of 3 year old Kindergarten as it will be a funded program.
Children are only eligible to have a second year of four year old kindergarten if your child has been assessed as having significant development delay in at least two areas, the application made by the kindergarten is approved by the Department of Education and if applicable an exemption from school is granted. Age is not a consideration.

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Deferral Form

Yes

Child's Name*

First NameLast Name

Gender*

MaleFemaleUnspecified

Child's Date of Birth*

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

Would you like to add 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

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? *

Important Information

The Department of Education has stated that as of 2022 children will no longer be able to have a second year of 3 year old Kindergarten as it will be a funded program.
Children are only eligible to have a second year of four year old kindergarten if your child has been assessed as having significant development delay in at least two areas, the application made by the kindergarten is approved by the Department of Education and if applicable an exemption from school is granted. Age is not a consideration.

Do you have children that have previously attended Birregurra Preschool Centre?*

YesNo

Names of your other children that have attended Birregurra Preschool Centre

Does this child have a sibling who has previously attended this Kindergarten?

YesNo

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

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:

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 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

Does your child have any special 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:

Already Paid?

Yes

Payment Name

Amount

Payment Type

Payment Reference Number

Form Name

Birregurra Preschool Centre

Enrolment & Immunisations

Kinder Fee Subsidy

Children with Special Needs