Mildura Application and PPF Form

Mildura Rural City Council Kindergarten Registration Form

Please complete this form to register your child for 3 or 4-year-old kindergarten. Once allocations have been completed, your kindergarten will be in touch regarding enrolment.
Kindergarten places are allocated to eligible children in accordance with the Department of Education Priority of Access as outlined in the Mildura Rural City Council Central Registration and Enrolment Scheme and Priority of Access Guidelines.

Registrations must be received by 31 July to be considered in the first round of kindergarten offers. Registrations received after this date will be considered a late registration and will be offered in future rounds. The offer process is lengthy and continues throughout the year.

A child must be three or four years old on or before 30 April in the year they are due to attend kindergarten. The Starting Kindergarten age calculator provides information on when your child is eligible to attend kindergarten.
Child Details
Child's Name*

First NameLast Name
Gender*

MaleFemaleUnspecified
Child's Date of Birth*

DayMonthYear
Child's Address*

Street Address

Street Address Line 2

CityState

Post Code
Immunisation

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

Please note: we do not ask you attach the immunisation history statement at this time. You will be required to provide an up to date immunisation history statement at a later date as part of the kindergarten enrolment confirmation.
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.
Has your child had their 3.5 year old Maternal & Child Health check?*

YesNo
Please contact Maternal Child Health on 03 5018 8277 or email mchs@mildura.vic.gov.au to make an appointment.
Have you attended a Supported Playgroup?

YesNo
Who was the facilitator?
Is your child Eligible for Early Start Kindergarten or Pre-Prep?
For information regarding Early Start Kindergarten: Early Start Kindergarten | Victorian Government (www.vic.gov.au)

For information regarding Pre-Prep: Four-Year-Old Kindergarten is becoming Pre-Prep | vic.gov.au
Is your family from a refugee or asylum seeker background?*

YesNo
Does your child identify as Aboriginal and/or Torres Strait Islander?*

NoAboriginalTorres Strait IslanderBoth Aboriginal and Torres Strait Islander
Has your child or family had contact with child protection or connected with the Department of Families, Fairness and Housing or any other support services (eg Orange Door)?*

YesNo
Parent Details
Parent / Guardian 1*

First NameLast Name
Relationship to the child*
Is Parent / Guardian 1's postal address different to the child's address provided

YesNo
Parent / Guardian 1 Postal Address*

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*
Is Parent / Guardian 2's postal address different to the child's address provided

YesNo
Parent / Guardian 2 Postal 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 other than English spoken at home:
Is an interpreter required?*

YesNo
How will your child get to Kindergarten?*

Own CarFamily member or friendPublic TransportWalkUnreliable transportOther
Kindergarten Preferences

You can choose all preferences at one service or session times at multiple services.
What year would you like your child to commence kindergarten? *
What year would you like your child to commence kindergarten? *
Care Period Mapped
What program type is this application relevant to?*
2nd Year of Funded Kindergarten

Children enrolled in a funded kindergarten program are eligible to access a second year of funded 3 year old kindergarten only if the early childhood teacher has assessed eligibility for your child to be considered for a second year.
Has your child already attended a funded year of three year old kindergarten?*

YesNo
Are you applying for a second year of Three Year Old Kindergarten for your child as recommended by their teacher and approved by the Department of Education and Training?*

YesNo
Please provide details of Kindergarten currently attending three year old*
2nd Year of Funded Kindergarten

Children enrolled in a funded kindergarten program are eligible to access a second year of funded 4 year old kindergarten only if the early childhood teacher has assessed eligibility for your child to be considered for a second year.
Has your child already attended a funded year of four year old kindergarten?*

YesNo
Are you applying for a second year of Four Year Old Kindergarten for your child as recommended by their teacher and approved by the Department of Education and Training?*

YesNo
Please provide details of Kindergarten currently attending four year old*
PPPC Input
P1 Eligible
P2 Eligible
Pre Prep Priority Cohort

Mildura Rural City Council Kindergarten Registration Form

Child Details

Is your child Eligible for Early Start Kindergarten or Pre-Prep?

Parent Details

Kindergarten Preferences

Kindergarten Session Times

Kindergarten Session Times

Additional Information