Surf Coast Shire - Application Form

Kindergarten Central Application Form
Thank you for advising that you wish to decline your kindergarten offer for next year and to remain on the waitlist for an alternative service. Please update your preferred kindergarten below to reflect all kindergartens at which you are willing to accept an offer.
Collection Notice
Surf Coast Shire Council is committed to protecting your privacy and is bound by the Information Privacy Principles in the Privacy and Data Protection Act 2014 (Vic) ('PDP Act') and Health Privacy Principles in the Health Records Act 2001. The personal information requested on the form is being collected by Council for the purpose of enrolling your child into the Kindergarten program. If the personal information is not collected, we will be unable to enrol your child into the program, and/or we will be unable to contact you for further questions or solutions. We will not disclose your personal information without your consent, except where required or authorised to do so by law. Our privacy policy is available on our website. If you wish to alter any of the personal information you have supplied to Council, please contact us by sending an email to info@surfcoast.vic.gov.au.

Welcome to the Surf Coast Shire Kindergarten Program online central application form.

Surf Coast Shire Council is the Early Years Management (EYM) that provides service delivery, professional leadership and centralised management for the below kindergarten services.

Kurrambee Myaring Kindergarten (Torquay)
Torquay Kindergarten
Helen M Kininmonth Kindergarten (Winchelsea)
Jan Juc Pre-School
Anglesea Kindergarten
Lorne Kindergarten

Applications are not prioritised by date order. Council operates a priority of access system only if groups exceed capacity.

Priority of access
We support the Department of Education (DE) policy direction that prioritises the inclusion of children with additional needs, children of Aboriginal and Torres Strait Islander background, asylum seeker and refugee families with an appropriate visa, children known to Child Protection and children applying for a 2nd year of kindergarten. Families that demonstrate that they have a child in one of these categories will be allocated to a kindergarten program as a high priority.

Full list of Priority of Access criteria is available on our Kindergarten's FAQ's page.

For 2026 3-year-old programs will be offered between 10-15 hours and 4-year-old programs will be 15 hours. The sessions will be determined at the end of first round applications and will be based on the number of applications received and service capacity.

Three year old kindergarten - Government Funded Program
- Children must be three years old to attend Three-Year-Old Kindergarten.
- Children accessing Three-Year-Old Kindergarten will transition to Four-Year-Old Kindergarten the following year, unless your child is assessed as being eligible for a second year of Three-Year-Old Kindergarten (when a child shows delays in at least two key outcomes of learning and development as assessed by your child’s kindergarten teacher).
- Families with children born between January and April are strongly recommended to consider the best time for their child to access Three-Year-Old kindergarten, as this will impact on their one year of Four-Year-Old kindergarten and their school starting age. e.g. If you access Three-Year-Old Kindergarten in 2026, your child will transition to Four-Year-Old Kindergarten in 2027, then school in 2028.
Four year old kindergarten - Government Funded Program
- Children must be four years old by 30 April in the year they are attending kindergarten to be eligible.
- Children will only be able to access one year of Government Funded Four-Year-Old Kindergarten and will transition to school the following year, unless your child is assessed as being eligible for a second year of Four-Year-Old Kindergarten (when a child shows delays in at least two key outcomes of learning and development as assessed by your child’s kindergarten teacher).
Note: Children can only access a second year of funded 3-year-old or a second year of funded 4-year-old kindergarten, if eligible.

When to start Three and Four-Year-Old Kindergarten
Use the Starting Age Calculator to enter your child's birth date to find out what year they can start Three and Four-Year-Old Kindergarten.

Starting age calculator

No Jab No Play
An Immunisation History Statement from the Australian Immunisation Register is the only documentation accepted by early childhood education and care services for the purposes of confirming a child’s enrolment in their service.

Contact us
If you have any questions regarding the application please contact us via email centralapplication@surfcoast.vic.gov.au
Kindergarten Preferences
Date

DayMonthYear
Date
What year would you like your child to commence in kindergarten? *
What year would you like your child to commence in kindergarten? *
What Program Type is this application relevant to?*
Mapped Care Period *
Are you applying for a 2nd year of 4yr old kindergarten?*

YesNo
DNU until 2027 - Are you applying for a 2nd year of 3yr old kindergarten?*

YesNo
What Kindergarten is your child currently attending?
Service Preference
Preference One*
Pref One
Preference Two*
Pref Two
Preference Three*
Pref Three
WARNING: PLEASE SELECT UNIQUE SERVICE PREFERENCES
Session Preferences

This information will assist in planning session days and times.
Please indicate your preferred session format (please select all that apply)

3 days: 6 hour sessions for 2 days, 3 hour session for 1 day2 days: 7.5 hour sessionsNo preference
Please indicate preferred kinder days:

MondayTuesdayWednesdayThursdayFridayNo preference
Child's Details
Child's Name*

First NameMiddle NameLast Name
Sex assigned at birth*

MaleFemaleSelf – described (specify)
What gender does your child identify as*

MaleFemaleSelf – described (specify)
Child's Date of Birth*

DayMonthYear
WARNING: YOUR APPLICATION IS UNABLE TO BE ACCEPTED ONLINE.

Based on the Date of Birth entered for this child, they will not meet the age criteria for the year selected above. Please either change the year selected or contact us via email to discuss at centralapplication@surfcoast.vic.gov.au.
Child's living arrangement*

Both parentsParent / Guardian 1Parent / Guardian 2Formal Kinship CareFoster CarePermanent CareResidential CareInformal Kinship Care
Language/s spoken at home:*
Is this child Aboriginal or Torres Strait Islander?*

NoTorres Strait IslanderAboriginalBoth Aboriginal and Torres Strait Islander
Is this child or family known to child protection?*

YesNo
Is your child from a refugee or asylum seeker background?*

YesNo
Display ESK Message

Yes
Early Start Kindergarten gives eligible children 15 hours of free kindergarten a week. To be eligible, your child must be three by 30 April in the year they start kindergarten, and:
- is from a refugee or asylum seeker background, or
- identify as Aboriginal or Torres Strait Islander, or
- your family has had contact with child protection.
The Kindergarten Engagement Officer will contact you to discuss available options.
Pre-prep priority gives eligible children between 16-25 hours of free kindergarten per week. To be eligible, your child must be four by 30 April in the year they start kindergarten, and:
- is from a refugee or asylum seeker background, or
- identify as Aboriginal or Torres Strait Islander, or
- your family has had contact with child protection.
The Kindergarten Engagement Officer will contact you to discuss available options.
Do you wish to apply for ESK?

YesNo
Does your child have any additional needs?*

YesNo
If yes, please specify:*

0/255
You are encouraged to discuss your child's needs with the educator when your child's place is confirmed.
Contact 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
Does this child have a second Parent / Guardian?*

YesNo
Do you want Parent 2 to have access and permission to view or edit Parent 1's details?*

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*
Does Parent 1 have authority to view and edit Parent 2's details?*

YesNo
Immunisation Details
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 immunisations up to date?*

YesNo
Please attach your child's immunisation history statement*

Cancelof
Concession Details
The State Government 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 CardDepartment of Veterans’ Affairs Gold Card or White CardRefugee visa (subclass 200)In-country Special Humanitarian visa (subclass 201)Global Special Humanitarian visa (subclass 202)Humanitarian Stay visa (subclass 449)Visitor Visa (subclass 600)Temporary Protection visa (subclass 785)Safe Haven Enterprise visa (subclass 790)Temporary Humanitarian Concern visa (subclass 786)Protection visa (subclass 866)Emergency Rescue visa (subclass 203)Woman at risk visa (subclass 204)Bridging visas A-E.Triplets or QuadrupletsCurrent or expired ImmiCard
Health Care Number*
Health Care Card Expiry Date*

DayMonthYear
Pensioner Number*
Pensioner Expiry Date*

DayMonthYear
Supporting documentation will need to be sighted at the time of enrolment
Additional Information
Are there any Family Court Orders / Parenting Plans relating to the powers, duties, responsibilities or authorities of any person in relation to the child or access to the child?*

YesNo
1. If there are court orders in place relating to your child, you must bring the original court order/s for staff to see and attach a copy to this enrolment form.

2. If these orders change the powers of a parent /guardian to:
• authorise the taking of the child outside the service by a staff member of the service;
• consent to the medical treatment of the child;
• request or permit the administration of medication to the child;
• collect the child from the service or family day care; and/or
• give these powers to someone else.
Please describe these changes and provide the contact details of any person given these powers in the space below:*
Please attach a copy of order(s) and bring original copy for educators to sight*

Cancelof
Does the child have a sibling (not multiple birth) who previously attended your preferred kindergarten?

YesNo
Sibling 1 Details*
Sibling 2 Details (Optional)
Do you live or work within the Surf Coast Shire municipality?*

YesNo
Send Notification to family?
P1 Eligible?
P2 Eligible?
Input PPPC
Pre Prep Priority Cohort
Deferral Form

Yes
internal_hide

Yes
Form Test

Yes
Child Address*

Street Address

Street Address Line 2

CityState

Post Code
current_service_allocated
Same Service Priority
Suppress Notifications
Program Type Input
Care Period Input
Offer Response
form_name
Cutoff date calculator
Cutoff Date

DayMonthYear
Date
Age as at cutoff
ineligible to apply
Token
Should be Empty:

Kindergarten Central Application Form

Kindergarten Preferences

Service Preference

Session Preferences

Child's Details

Contact Details

Immunisation Details

Concession Details

Additional Information