Nillumbik Preschool Application Form

Nillumbik Preschool Application Form
Please complete the following form to register your child to attend kindergarten at a preschool service in Nillumbik’s central registration system.

Families are encouraged to register for 3-year-old and 4-year-old kindergarten at the same time.

Before you begin

Before commencing the registration process, please ensure you have the following information:
- Child and parent/guardian (applicant) contact information
- Preschool preferences (we recommend choosing 3 services)
- Supporting documentation applicable to the Department of Education (DE) priority of access and Nillumbik Shire Council’s selection criteria.
We can only provide information to the parents/guardians listed on this registration.

Preschool places are allocated in accordance with the Department of Education (DE) priority of access and the selection criteria set out in Council’s Priority of Access and Offer Policy Guidelines. These guidelines are used to ensure all allocations to 3 and 4-year-old kindergarten through the Preschool Registration Scheme are fair and equitable.

With the introduction of funded kindergarten, we anticipate an increase in registrations for our preschool services which may result in more applications than available places. Families who do not receive a preschool offer will have the option to remain on a waitlist and the Preschool Registrations Team will contact you if a place becomes available.
Deferral Form

Yes
Family Details
Child's Name*

First NameLast Name
Gender*

MaleFemaleOther
Child's Date of Birth*

DayMonthYear
Please upload a copy of your child's birth certificate, passport or immunisation certificate.*

We only accept files in JPG or PDF format. Maximum file size is 1GB
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Child Residential Address*

Street Address

Street Address Line 2

SuburbState

Post Code
Parent / Guardian 1*

First NameLast Name
Relationship to the child*
Is the Parent / Guardian 1's Address the same as the Child's Address?*

YesNo
Parent / Guardian 1 Residential Address*

Street Address

Street Address Line 2

SuburbState

Post Code
Mobile Number*
Email*
Please Note: You will be notified of all correspondence via email
The Department of Education has updated their Priority of Access for 2027. As part of these updates, eligibility has been expanded to better recognise children, parents and carers with additional needs. This includes families who may require extra support to access or participate in kindergarten.
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
Please provide further details*

0/230
Please attach a copy of the assessment or letter*

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Would you like to add a second Parent / Guardian?

YesNo
Parent / Guardian 2*

First NameLast Name
Relationship to the child*
Is the Parent / Guardian 2's Address the same as the Parent / Guardian 1's Address?*

YesNo
Parent / Guardian 2 Residential Address*

Street Address

Street Address Line 2

SuburbState

Post Code
Mobile Number*
Email*
Please Note: You will be notified of all correspondence via email
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
Please attach a copy of the assessment or letter*

Cancelof
Kindergarten Program
What year would you like your child to commence kindergarten?*
What year would you like your child to commence kindergarten?*
Mapped_Care Period *
Please indicate if your child will be attending 3 Year Old or 4 Year Old Preschool.*
Would you also like to add an application for 4 Year Old Kindergarten at this time?*

YesNo
Following year program type*
Please note: Based on the Date of birth you have provided, your child is not within the correct age bracket to commence/attend Preschool in the year you have selected. Please contact us if you wish to discuss further.
Kindergarten Location
Use the map below, which displays all the kindergartens as a green pin, to help you find a service location that meets your needs.

Enter the Year, Program Type (3 or 4-year-old), and your address.
Your address will appear on the map as a blue home icon so you can see where the closest kindergartens to your home are. Click on any of the green pins to display that service’s information.
Kindergarten Preferences
Preference One*
Please note: at least one preference is mandatory, however you can add up to three by adding a second and third preference below
Preference one
Preference Two
Preference two
Preference Three
Preference three
Please select a unique option for each preference.

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Captcha Verification*
Send Notification email for this change?
Test Form

Yes
Payment Name
3 or 4 year old Amount
3 and 4YO Amount
Total Amount
Payment Type
Payment Reference Number
Todays Date

DayMonthYear
Date
Cutoff date calculator
Cutoff Date

DayMonthYear
Date
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Age as at cutoff
ineligible to apply
Part 2 Rego
hideFamily
EOI Year
Part 2 Year
form_name
Program Type Input
Care Period Input
transfers

Yes
token
DNU_Child/Sibling Name*
eg. Billie Smith
DNU_sibling details
DNU_Year Attended*
eg. 2024
DNU_Surpress Notifications
DNU_Child/Sibling Name
eg. Billie Smith
DNU_Concession card *

DayMonthYear
Date
DNU_Do you or your child hold any concessions, current health care card, concession card, humanitarian/refugee or bridging visa?*

YesNo
DNU_Year Attended
eg. 2024
DNU_Please indicate the multiple birth type.
DNU_Would you like to pause the send of a notification email for this change?

YesNo
DNU_ 3 Year old previous Preschool name and year of attendance
Should be Empty:

Nillumbik Preschool Application Form

Family Details

Kindergarten Program

Kindergarten Location

Kindergarten Preferences

Nillumbik Priority of Access Allocation Criteria

Additional Information About Your Child

Additional Information

Authorisation and Declaration

Privacy Statement

Disclaimer