CGSC (Goldfields) Kindergarten Application and PPF Form

Central Goldfields Shire

Central Registration for Kindergarten
Deferral Form

Yes
Central Goldfields Shire Council Central Enrolments Scheme collects Kindergarten registration requests on behalf of the all kindergartens located in the shire.

Please make sure you have read the registration information before registering your child. Refer to the registration process for further details.

When to start kindergarten

Enter your child's date of birth to check if they are eligible for 3 or 4 year old kinder.

Please note children are unable to repeat 3 year old kinder and will progress directly to 4 year old kindergarten in the following year

Starting age calculator

To register your child follow the below steps

1. Complete this registration form
2. Wait for your offer
3. Accept your offer
4. Complete Enrolment with Kinder

Pre Prep Roll Out

Kindergartens in Central Goldfields Shire are beginning the Pre Prep roll out in 2026, eligible 4 year old kindergarten children will be offered additional kindergarten hours between 16-25 hours per week depending on service selected.

Eligible Children:
- who are Aboriginal and Torres Strait Islander,
- from a refugee or asylum seeker background,
- who have had contact with Child Protection,
If you are applying for 4 year old kindergarten and you select one of these eligibility requirements you will be showed the Pre Prep programs.

For further information about Pre Prep: Pre-Prep Calculator | vic.gov.au
Child Details
Child's Name*

First NameLast Name
Gender*

MaleFemaleUnspecified
Child's Date of Birth*

DayMonthYear
Does this child identify as Aboriginal / Torres Strait Islander?*

AboriginalTorres Strait IslanderBoth Aboriginal and Torres Strait IslanderNone of the above
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 email
Would you like to add 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*
Please Note: You will be notified of all correspondence via email
Language/s spoken at home:
Additional Information
Does your child have any siblings who will be attending 3 or 4 Year Old Kindergarten in the same year that this application is for?*

YesNo
Does this child have a sibling who has previously attended this Kindergarten in the last 5 years?

YesNo
Names of your other children that have attended a Central Goldfields Shire Kindergarten:
Do you work or live in the city of Central Goldfields Shire?*

YesNo
Is your child or family known to child protection or connected with Department of Families, Fairness and Housing or any other support services (eg Orange Door)?*

YesNo
Does your child have any additional needs eg: identified specific disability or developmental delay? (This does not include allergies and medical conditions)*

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:
Concession Details
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 CardRefugee visa (subclass 200)In-country Special Humanitarian visa (subclass 201)Global Special Humanitarian visa (subclass 202)Temporary Humanitarian Concern visa (subclass 786)Protection visa (subclass 866)Emergency Rescue visa (subclass 203)Woman at risk visa (subclass 204)Bridging visa A-E for humanitarian or refugee visaHumanitarian Stay visa (subclass 449)Temporary Protection visa (subclass 785)Safe Haven Enterprise visa (subclass 790)Department of Veterans Affairs (DVA) Gold Card or White CardTriplets or QuadrupletsAboriginal or Torres Strait IslanderCurrent or expired ImmiCard
Health Care Number*
Health Care expiry date*

DayMonthYear
Pensioner Number*
Pensioner expiry date*

DayMonthYear
Supporting documentation will need to be sighted when enrolling at your allocated Kindergeraten.
P1 eligible?
P2 eligible?
input_PPPC
Pre Prep Priority Cohort
Kindergarten Preferences
What year would you like your child to commence care? *
What year would you like your child to commence care? *
Mapped Care Period*
What program type is this application relevant to?*

Collapse Stopper
Please select a unique session time for each option.
2nd Year of 4 Year Old Funding
Are you applying for a second year of kindergarten for your child as recommended by their teacher and approved by the Department of Education?*

YesNo
Where did your child previously attend 4 year old Kindergarten?*
Authorisation and Declaration
By submitting this form:
- I have read all information provided in this registration form.
- I understand that when the offer of a kindergarten place is received, a response must be returned by the due date specified.
- I agree to be contacted regarding my choice of kindergarten year if my child’s date of birth falls between January 1st and April 30th.
- I understand that Council accepts this kindergarten registration on behalf kindergartens but gives no guarantee that my first preference will be guaranteed.
- I understand that my personal information is being collected for central kindergarten registration and that this information will be provided to my preferred kindergarten when I have accepted the offer.
For further information on how your information is handled please see the privacy policy.
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Already Paid?

Yes
child Address*

Street Address

Street Address Line 2

CityState

Post Code
Form Name
programType
form_test
Current Date

DayMonthYear
Should be Empty:

T.L Stone Memorial Kindergarten	3YO Integrated Kookaburra Group	Wednesday and Thursday 8:15am - 3:45pm
	3YO Integrated Emu Group	Tuesday and Wednesday 8:15am - 3:45pm
	3YO Integrated Wombat Group	Tuesday and Thursday 8:15am - 3:45pm

Californian Gully Kindergarten	3YO Gumnut - Integrated 3 Year Old and 4 Year Old	Monday, Thursday and Friday 9:00am - 2:00pm
Californian Gully Kindergarten	3YO Wattle - Integrated 3 Year Old and 4 Year Old	Tuesday and Wednesday 8:30am - 4:00pm

T.L Stone Memorial Kindergarten	4YO Integrated Kookaburra Group	Wednesday and Thursday 8:15am - 3:45pm
	4YO Integrated Emu Group	Tuesday and Wednesday 8:15am - 3:45pm
	4YO Integrated Wombat Group	Tuesday and Thursday 8:15am - 3:45pm

Californian Gully Kindergarten	4YO Gumnut - Integrated 3 Year Old and 4 Year Old	Monday, Thursday and Friday 9:00am - 2:00pm
Californian Gully Kindergarten	4YO Wattle - Integrated 3 Year Old and 4 Year Old	Tuesday and Wednesday 8:30am - 4:00pm

T.L Stone Memorial Kindergarten	4YO Integrated Kookaburra Group	Wednesday and Thursday 8:15am - 3:45pm
	4YO Integrated Emu Group	Tuesday and Wednesday 8:15am - 3:45pm
	4YO Integrated Wombat Group	Tuesday and Thursday 8:15am - 3:45pm
	4YO Integrated Pre Prep Group	Tuesday, Wednesday and Thursday 8:15am - 3:45pm

Central Goldfields Shire

Child Details

Parent Details

Additional Information

Concession Details

Kindergarten Preferences

3 Year Old Kindergarten - Programs

4 Year Old Kindergarten - Programs

3 Year Old Kindergarten - Programs

4 Year Old Kindergarten - Programs

2nd Year of 4 Year Old Funding

Authorisation and Declaration

T.L Stone Memorial Kindergarten	3YO Multi-Age Group 1	Wednesday and Thursday 8:15am - 3:45pm
	3YO Multi-Age Group 2	Tuesday and Wednesday 8:15am - 3:45pm
	3YO Multi-Age Group 3	Tuesday and Thursday 8:15am - 3:45pm

T.L Stone Memorial Kindergarten	4YO Multi-Age Group 1	Wednesday and Thursday 8:15am - 3:45pm
	4YO Multi-Age Group 2	Tuesday and Wednesday 8:15am - 3:45pm
	4YO Multi-Age Group 3	Tuesday and Thursday 8:15am - 3:45pm