Ave Maria - Application Form - Standalone Kinder (with deferral)

Registration Form

Ave Maria Kindergarten
If you would like to register your child at Ave Maria Kindergarten please complete the following form. Please Note: we only accept applications a year before your child starts kindergarten. At the end you will be asked to pay a non-refundable $45 registration fee.
Deferral Form

Yes
Child's Name*

First NameLast Name
Gender*

MaleFemaleUnspecified
Child's Date of Birth*

DayMonthYear
Address*

Street Address

Street Address Line 2

CityState

Post Code
Please upload a copy of your child's birth certificate.*

Browse Files

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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:
What year would you like your child to commence at Ave Maria Kindergarten? *
What year would you like your child to commence at Ave Maria Kindergarten ? *
What program type is this application relevant to? *
*** Please note that children can only start the 3 Year Old kindergarten program once they have turned 3. ***
Is this child currently attending a 3 Year Old Ave Maria Kindergarten program?*

YesNo
Is this child currently attending a different Kindergarten service?*

YesNo
Do you have children that have previously attended Ave Maria Kindergarten?*

YesNo
Names of your other children that have attended Ave Maria Kindergarten
Does your child have any younger siblings currently attending Ave Maria Kindergarten in the same year?*

YesNo
Has your child previously attended a funded kindergarten program?*

YesNo
Do you work or live in the City of Moonee Valley?*

YesNo
Please upload a copy of a current rates notice, utilities bill or rent agreement in the name of the parent/guardian (no older than 3 months)*

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

YesNo
Enrolment & Immunisations
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
Kinder Fee Subsidy
The State Government may provide an additional fee subsidy for eligible families. This will be determined on the eligibility criteria of the free kindergarten initiative positioned by the government. 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 Sample Kindergarten 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
Children with Additional Needs
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:
Registration Fee
Please transfer a non-refundable and non-transferable registration fee of $45.00 to the below account, and provide the reference number for your transfer below. If you are unable to pay via the below method please contact the Enrolment Officer on enrol@avemariakinder.vic.edu.au to arrange an alternate payment method.

Account Name: Ave Maria Kindergarten

BSB: 063 129

Account Number: 1000 2163

Reference: Child's Name
EFT reference:*
Payment Date:*

DayMonthYear
Already Paid?

Yes
Payment Name
Amount
Payment Type
Form Name
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Should be Empty:

Registration Form

Enrolment & Immunisations

Kinder Fee Subsidy

Children with Additional Needs

Registration Fee