Macedon Ranges (MRSC) Kindergarten Application Form

Macedon Ranges Central Kindergarten Registration Form
Deferral Form

Yes
To register for Macedon Ranges Central Kindergarten Registration please complete the following form.

For the best chance of being offered a place, register your child by 31 May the year before they start kindergarten.

Late registrations will be accepted, but those received by 31 May are given priority in the allocation of places.

Please Note:

This registration does not guarantee a placement.

Every Victorian child is eligible for free kindergarten.

Families registering for Macedon Kindergarten:

In Term 1 2026, Macedon Kindergarten will be closed for refurbishment and the program will be moved to Swinburne Avenue.

If you have any questions, email Earlyyearscommunications@mrsc.vic.gov.au
Child Details
Child's Name*

First NameLast Name
Gender*

MaleFemaleOther
Does your identify as child Aboriginal or Torres Strait Islander?*

NoAboriginalTorres Strait IslanderBoth Aboriginal and Torres Strait Islander
Is your child a twin?*

YesNo
Child's Date of Birth*

DayMonthYear
Child's Living Arrangement*

Both parentsParent / Guardian 1Parent / Guardian 2Formal Kinship CareFoster CarePermanent CareResidential CareInformal Kinship Care
Language/s spoken at home:*
Has your family had contact with child protection?*

YesNo
If yes, please select from the following:*

Experiencing family violence or has had contact with The Orange DoorKnown to or had contact with Child Protection or in Out-of-Home-CareChild or family previously accessed Flexible Support PackagesReferred by Child Protection, Child and Family services, MCH nurse, Out of Home Care provider
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 this email
Does Parent / Guardian 1 hold a Commonwealth Health Care Card?*

YesNo
Health Care Number*
Health Care Expiry Date*

DayMonthYear
Does Parent / Guardian 1 hold a Commonwealth Pensioner Concession Card?*

YesNo
Pensioner Number*
Pensioner Card Expiry Date*

DayMonthYear
Does Parent / Guardian 1 hold a Veterans Affairs Card?*

YesNo
Department of Veterans Affairs Number*
Department of Veterans Affairs Expiry Date*

DayMonthYear
Does Parent / Guardian 1 have a NDIS number or are they undergoing assessment for disability under the NDIS currently?*

YesNo
Does Parent / Guardian 1 have complex medical needs that present barriers to accessing a kindergarten program (supported by a letter from a medical practitioner or specialist)?*

YesNo
Does this child have a second parent / guardian?*

YesNo
Please provide further details*

0/230
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*
Does Parent / Guardian 2 hold a Commonwealth Health Care Card?*

YesNo
Health Care Number*
Health Care Expiry Date*

DayMonthYear
Does Parent / Guardian 2 hold a Commonwealth Pensioner Concession Card?*

YesNo
Pensioner Number*
Pensioner Card Expiry Date*

DayMonthYear
Does Parent / Guardian 2 hold a Veterans Affairs Card?*

YesNo
Department of Veterans Affairs Number*
Department of Veterans Affairs Expiry Date*

DayMonthYear
Please attach a copy of your Department of Veterans Affairs card

Cancelof
Does Parent / Guardian 2 have a NDIS number or are they undergoing assessment for disability under the NDIS currently?*

YesNo
Does Parent / Guardian 2 have complex medical needs that present barriers to accessing a kindergarten program (supported by a letter from a medical practitioner or specialist)?*

YesNo
Please provide further details*

0/230
Priority of Access Criteria
Does your child hold a Commonwealth or Disability Health Care Card?*

YesNo
Health Care Number*
Health Care expiry date*

DayMonthYear
Is this child a multiple birth (triplet or quadruplet or more?)*

YesNo
Do you or your child have, or are you applying for, any of the following visas?

Bridging visa A-E for humanitarian or refugee visaCurrent or expired ImmiCardDepartment of Veterans Affairs (DVA) Gold Card or White CardEmergency Rescue visa (subclass 203)Global Special Humanitarian visa (subclass 202)Humanitarian Stay visa (subclass 449)In-country Special Humanitarian visa (subclass 201)Protection visa (subclass 866)Refugee visa (subclass 200)Safe Haven Enterprise visa (subclass 790)Temporary Humanitarian Concern visa (subclass 786)Temporary Protection visa (subclass 785)Woman at risk visa (subclass 204)
Children with Additional Needs
Does your child have any additional needs*

YesNo
If yes, please select which of the following applies*

Child eligible or undergoing assessment for a disability under the NDISChild eligible for Early Childhood Intervention Service Continuity of SupportChild diagnosed with a disability or developmental delay or undergoing diagnosisChild with developmental concerns that presents barriers to accessing a kindergarten programChild has complex medical needs that presents barriers to accessing a kindergarten programChild holds Disability Health Care CardChild previously accessed Kindergarten or Commonwealth Inclusion Support or similar programReferred by NDIS or Early Childhood Intervention or Preschool Field Officer or MCH nurse or similar
Is your child registered with a specific Support service / agency?*

YesNo
Please provide name of support service / agency:*
eg. Allied health, NDIS, Name of family support worker etc.
You are encouraged to discuss your child's needs with the educator when your child's place is confirmed.
Kindergarten Year and Second Year of Funded Kindergarten
Please indicate your child's enrolment by ticking the appropriate box:*

First year of 3 year old kindergartenFirst year of 4 year old kindergartenSecond year of funded kindergarten (select only if the educator has confirmed your child is eligible and meets the criteria)
Are you applying for a second year of funded {servicevicepreference_program-type}?

YesNo
Please advise previous kindergarten attended previously*
Kindergarten Preferences
What year would you like your child to commence kindergarten? *
What program type is this application relevant to?*
Warning: Your Application is unable to be accepted at this time.

Based on the Date of Birth for your child, your registration does not meet the age criteria for the year you have requested.
Please note, children need to turn three years of age on, or before, 30 April and can only commence on or after their third birthday.
- Option One*
- preference_one
- Option Two*
- preference_two
- Option Three*
- preference_three
- In instances where there are more registrations than places available, Council uses DE’s prescribed Priority of Access (PoA) criteria, followed by locally agreed criteria, to decide how places are allocated.
- Option One*
- preference_1
- Option Two*
- preference_2
- Option Three*
- preference_3
- Integrated kindergarten programs run most weeks of the year and are open for longer periods each day, therefore free kindergarten is provided as a subsidy and additional fees will apply, please contact the service directly to confirm what these fees would be for your family.
- Preference for Riddells Creek - Gumboots Early Learning is considered an Expression of Interest until this service receives its Service Licence.
- PLEASE SELECT A UNIQUE PREFERENCE FOR EACH OPTION
- To assist with program and session planning could you please indicate your option below:
  
  2 long days (7.5 hours each)3 short days (5 hours each)
- Additional Information
- Does your child currently attend the service you have included as Option 1 (first preference) on this form*
  
  YesNo
- Are you a resident or ratepayer in Macedon Ranges Shire?*
  
  YesNo
- Are you planning to move to or work within the Macedon Ranges Shire?
  
  YesNo
- If you are intending to become a resident please provide the estimated date and residential address if known:
- Do you work or study in Macedon Ranges Shire?
  
  YesNo
- child_proximity
  
  YesNo
- If your child is starting after the commencement of the school year (Term 1) when do you expect your child to commence at Kindergarten?
- Authorisation and Declaration
- I declare that the information provided in this application is, to the best of my knowledge and belief, accurate and complete. I have read and understand the information in this application regarding the collection of personal information, publishing child information and consent. I am aware that if information I have given is false or misleading, any decision made as a result of this application, may be changed.
  In submitting this application, you are:
  - Acknowledging that the Council accepts this application on behalf of both Macedon Ranges Shire Council run kindergartens and participating external service providers but gives no guarantee that a place will be available in the kindergarten nominated or in any other kindergarten; and
  - Acknowledging that the Council will be using data from this application for future planning which may include waiting lists between kindergartens.
  I agree*
- Privacy Statement
- Privacy Statement
  
  Macedon Ranges Shire Council is committed to protecting your privacy. The personal information you provide on this form is being collected for the primary purpose of enrolling your child in kindergarten processing your kindergarten registration and allocating your child to a kindergarten service.
  
  The information submitted via this form will be provided to the Kindergarten Service Provider that you are allocated to and accept. Your information will not be disclosed to any other external party without your consent, unless required or authorised by law. If you wish to gain access to, or alter any personal information you have supplied in this registration please contact kinderenrolment@mrsc.vic.gov.au
- Would you like this change to initiate a confirmation email to the nominated email address?
- Reason for late registration/enrolment
  
  Just moved to areaMissed out on another kindergarten/daycare centreWas not aware of deadlineOther prioritiesLate decision to enrolOther
- Transfers
  
  Yes
- Show Preferences Only
  
  Yes
- Internal_hide
- child Address
  
  Street Address
  
  Street Address Line 2
  
  CityState
  
  Post Code
- Current Date
  
  DayMonthYear
  Date
- Form Test?
  
  Yes
- Time
  
  Hour Minutes
  
  AM/PM Option
- Unique calc
- Unique?
- Multiple Birth Number
- form_name
- Cutoff Date
  
  DayMonthYear
  Date
- Cutoff Date Calculator
- Age as at cutoff
- Ineligible to Apply
- Program Type Input
- DNU - Is there a reason why your child is only able to attend the 1st option service?
  
  YesNo
- DNU Please choose which criteria applies to your circumstances:
  
  Triplet or QuadrupletMore than one family member attending the centreCan only attend specialist medical appointments on non-kinder days (either child or family members which is ongoing)Due to parental plans or requirements (dual custody)Your child is eligible to attend a 2nd year of 4 year oldOnly has access to transport on these kinder daysGroup required due to work commitmentsGroup required due to day care availability
- Text_special consideration reason
- Multiple Birth
- Please note - your option is used for planning purposes only and is not an indication of what session times your kindergarten will be offering
- DNU Please upload a copy of your concession card
  
  Cancelof
- Pensioner Number
- DNU If yes, please specify details (e.g. autism, ADHD, aspergers, speech etc):
- Pension Card Expiry Date
  
  DayMonthYear
- DNU Does your child present with developmental concerns that presents as barriers to accessing a kindergarten program (at enrolment a letter or other evidence from MCH nurse or similar practitioner such as allied health practitioner will be required support this response)?
  
  YesNo
- DNU _ Does your child present with complex medical needs that present barriers to accessing a kindergarten program?
  
  YesNo
- Do you or your child hold a Pensioner Concession Card
  
  YesNo
- DNU_ Is your child registered with a specific Support service / agency such as the NDIS or undergoing a continuing assessment of disability (at enrolment a letter from a medical practitioner or specialist will be required to support this response)?
  
  YesNo
- Do you hold a Veterans Affairs Card?
  
  YesNo
- Should be Empty:

Macedon Ranges Central Kindergarten Registration Form

Child Details

Parent Details

Priority of Access Criteria

Children with Additional Needs

Kindergarten Year and Second Year of Funded Kindergarten

Kindergarten Preferences

Additional Information

Authorisation and Declaration

Privacy Statement