Bimbadeen Preschool - Application Form

Bimbadeen Preschool Application Form
If you would like to place your child on the waitlist at Bimbadeen Preschool please complete the following form. Please Note: we will accept applications anytime in the year your child turns two.
Deferral Form
Child's Name

First NameLast Name
Gender
Child's Date of Birth

DayMonthYear
Address

Street Address

Street Address Line 2

SuburbState

Post Code
Parent / Guardian 1

First NameLast Name
Relationship to the child
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?
Parent / Guardian 2

First NameLast Name
Relationship to the child
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 kindergarten?
What program type is this application relevant to?
Service Preference 1
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?
Kinder Fee Subsidy
Do any of the following concessions, or criteria apply
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
Other Information
Does your child have any special needs
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?
Name of support service / agency:
Does this child have a sibling who has previously attended this kindergarten?
Payment Name
Amount
Payment Type
Payment Reference Number
Already Paid?
Form Name
Should be Empty:

Bimbadeen Preschool Application Form

Enrolment & Immunisations

Kinder Fee Subsidy

Other Information