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
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 this child have 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*
Priority of Access Criteria
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. Please indicate if you are eligible for one of the following concessions, oryour family meet one any of the following criteria:

Aboriginal or Torres Strait IslanderBridging visa A-E for humanitarian or refugee visaCommonwealth Health Care CardCommonwealth Pensioner Concession CardCurrent 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)Triplets or QuadrupletsWoman at risk visa (subclass 204)
Health Care Number*
Health Care expiry date*

DayMonthYear
Pensioner Number*
Pension Card Expiry Date*

DayMonthYear
Please upload a copy of your concession card*

Cancelof
Children with Additional Needs
Is your child diagnosed with a disability or development delay or are undergoing diagnosis?*

YesNo
If yes, please specify details (e.g. autism, ADHD, aspergers, speech etc):*
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
Does your child present with complex medical needs that present barriers to accessing a kindergarten program?*

YesNo
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
Are you or your child engaged with any support services/agencies?*

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.

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

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