Yarriambiack Shire - Kindergarten Application Form

Yarriambiack Kindergarten Pre-enrolment Form
Please complete this Kindergarten Registration Form to register your child for 3-year-old or 4-year-old kindergarten.

If you are enrolling more than one child, you will need to complete a separate registration form for each child.

All information collected will be maintained in accordance with Council's Information Privacy Policy.

Beginning Kindergarten – When is the best time?

There are now two years of kindergarten programs available to your child prior to them starting school. The Victorian Government have commenced the rollout of funded kindergarten for three-year-old children across the state and we’re excited to be able to offer three year old kindergarten to Yarriambiack families.

This means:
- Children are eligible to attend 3 year old kindergarten if they turn 3 prior to the 30th of April, however they cannot attend until their third birthday.
- So, for children born between 1 January and 30 April, parents have the choice as to whether they commence 3 year old kindergarten the year they turn 3 or begin in the following year when a full year of 3 year old Kindergarten can be accessed.
When to start kindergarten

To start Three-Year-Old Kindergarten, your child must turn 3 by 30 April in the year they will attend kindergarten

To start Four-Year-Old Kindergarten, your child must turn 4 by 30 April in the year they will attend kindergarten

A kindergarten starting age calculator is available via the following link:
Sending your child to kinder | Victorian Government (www.vic.gov.au)

All children learn and develop in different ways. Some children may benefit from starting Kindergarten later. It is important that children are ready to transition to school after kindergarten. Therefore, it is important that parents and carers carefully consider this when deciding the best time for their child to start kindergarten.

If you are unsure about the best time for your child to start kindergarten, you can ask:
- Your child’s Maternal Child Health Nurse
- The Early Childhood Teacher at the kindergarten you are looking to enrol in
- Yarriambiack Shire’s Early Years Coordinator or Early years Engagement Officer
Child Details
Child's Name*

First NameLast Name
Gender*

MaleFemaleUnspecified
Child's Date of Birth*

DayMonthYear
Does this child identify as Aboriginal / Torres Strait Islander?*

AboriginalTorres Strait IslanderBoth Aboriginal and Torres Strait IslanderNone of the above
Is your child or family known to child protection or connected with the Department of Families, Fairness and Housing or any other support services (eg. Orange Door, Anglicare, Uniting)? *

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
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.
Parent Details
Parent / Guardian 1*

First NameLast Name
Relationship to the child*
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*
Parent / Guardian 2 Address*

Same as parent / guardian 1Different to parent / guardian 1
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:
Is an interpreter required?

YesNo
Does this child have a sibling who has previously attended this Kindergarten or who will attend in the future?

YesNo
If you have another child who will access Kindergarten in future years within Yarriambiack Council we encourage you submit another application.
Sibling Name
Year of Birth
eg. 2010
Sibling 2 Name
Year of Birth
eg. 2010
Sibling 3 Name
Year of Birth
eg. 2010
Siblings Calculator
Sibling Details Mapped
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:

Commonwealth Health Care CardCommonwealth Pensioner Concession CardRefugee visa (subclass 200)In-country Special Humanitarian visa (subclass 201)Global Special Humanitarian visa (subclass 202)Temporary Humanitarian Concern visa (subclass 786)Protection visa (subclass 866)Emergency Rescue visa (subclass 203)Woman at risk visa (subclass 204)Bridging visa A-E for humanitarian or refugee visaHumanitarian Stay visa (subclass 449)Temporary Protection visa (subclass 785)Safe Haven Enterprise visa (subclass 790)Department of Veterans Affairs (DVA) Gold Card or White CardTriplets or QuadrupletsAboriginal or Torres Strait IslanderCurrent or expired ImmiCard
Health Care Number*
Health Care expiry date*

DayMonthYear
Pensioner Number*
Pension Card Expiry Date*

DayMonthYear
Please provide the Visa class number*
Please attach a copy of your concession / visa

Cancelof
Supporting documentation will need to be sighted on commencement at Kindergarten.

Please note: The eligibility of concessions may vary from time-to-time. Up-to-date information can be found at: www.education.vic.gov.au/childhood/parents/support/Pages/financialassist.aspx
Kindergarten Preferences
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?*
Preference One*
Preference Two
Preference Three
Additional Information
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:*
Declaration
In making this application you are:
- Acknowledging that the Council accepts this application on behalf of participating kindergartens but gives no guarantee that a place will be available in the kindergarten nominated or in any other kindergarten in the municipality; and
- Confirming that if a previous application has been made you agree that your most recent (last) application will be considered only; and
- Acknowledging that the Council will be using data from this application for future planning which may include waiting lists between kindergartens.
Current Date

DayMonthYear
Date
Show Preferences Only

Yes
Test Form

Yes
Child_Address

Street Address

Street Address Line 2

CityState

Post Code
form_name
Token
Should be Empty:

Yarriambiack Kindergarten Pre-enrolment Form

Child Details

Parent Details

Kinder Fee Subsidy

Kindergarten Preferences

Additional Information

Declaration