Gray Court Pre-School - Application Form

Gray Court Pre-School Application Form
If you would like to place your child on the waitlist at Gray Court Pre-School please complete the following form. Please Note: we will accept applications anytime in the year your child turns two. At the end you will be asked to pay a non-refundable $50 waitlist application fee.

Please note that your child's application is for a place in the 3-year-old or 4-year-old program at Gray Court Pre-School and we do not guarantee a place in your preferred group or days.

Final group allocations will be decided by the Staff and Committee of Management after considering the needs of all children, families and group dynamics.

Please only continue if you understand and accept these terms. Offers will be sent out Mid-April of the year prior to commencement.
If you would like to place your child on the waitlist at Gray Court Pre-School please complete the following form. Please Note: we will accept applications anytime in the year your child turns two.

Please note that your child's application is for a place in the 3-year-old or 4-year-old program at Gray Court Pre-School and we do not guarantee a place in your preferred group or days.

Final group allocations will be decided by the Staff and Committee of Management after considering the needs of all children, families and group dynamics.

Please only continue if you understand and accept these terms. Offers will be sent out Mid-April of the year prior to commencement.
Deferral Form
Child's Name

First NameLast Name
Gender
Child's Date of Birth

DayMonthYear
2 digit day, 2 digit month, 4 digit year
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
Does Parent / Guardian 1 hold a Commonwealth Health Care Card?
Health Care Number
Health Care Expiry Date

DayMonthYear
2 digit day, 2 digit month, 4 digit year
Please attach a copy of your Health Care card

Browse Files

Cancelof
Does Parent / Guardian 1 hold a Commonwealth Pensioner Concession Card?
Pensioner Number
Pensioner Card Expiry Date

DayMonthYear
2 digit day, 2 digit month, 4 digit year
Please attach a copy of your Pensioner Concession card

Browse Files

Cancelof
Does Parent / Guardian 1 hold a Veterans Affairs Card?
Department of Veterans Affairs Number
Department of Veterans Affairs Expiry Date

DayMonthYear
2 digit day, 2 digit month, 4 digit year
Please attach a copy of your Department of Veterans Affairs card

Browse Files

Cancelof
Does Parent / Guardian 1 have a NDIS number or are they undergoing assessment for disability under the NDIS currently?
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)?
Please provide further details

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

Browse Files

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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
Does Parent / Guardian 2 hold a Commonwealth Health Care Card?
Health Care Number
Health Care Expiry Date

DayMonthYear
2 digit day, 2 digit month, 4 digit year
Please attach a copy of your Health Care card

Browse Files

Cancelof
Does Parent / Guardian 2 hold a Commonwealth Pensioner Concession Card?
Pensioner Number
Pensioner Card Expiry Date

DayMonthYear
2 digit day, 2 digit month, 4 digit year
Please attach a copy of your Pensioner Concession card

Browse Files

Cancelof
Does Parent / Guardian 2 hold a Veterans Affairs Card?
Department of Veterans Affairs Number
Department of Veterans Affairs Expiry Date

DayMonthYear
2 digit day, 2 digit month, 4 digit year
Please attach a copy of your Department of Veterans Affairs card

Browse Files

Cancelof
Does Parent / Guardian 2 have a NDIS number or are they undergoing assessment for disability under the NDIS currently?
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)?
Please provide further details

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

Browse Files

Cancelof
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
Does your child hold a Commonwealth or Disability Health Care Card?
Health Care Number
Health Care expiry date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Please attach a copy of the Health Care card

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Is this child a multiple birth (triplet or quadruplet or more)?
Do you or your child have, or are you applying for, any of the following visas?
Second Year of Funded Kindergarten

Children enrolled in a funded kindergarten program are eligible to access a repeat year of funded 3 or 4 year old kindergarten, only if the early childhood teacher has assessed eligibility for your child to be considered for a second year.
Is your child applying for a second year of funded {servicevicepreference_program-type}?
Is this child or family at risk?
If yes, please select from the following:
Please attach a copy of relevant documentation

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Max 10MB total file size Cancelof
Supporting documentation will need to be sighted on commencement at Gray Court Pre-School 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?
Waitlist Application Fee

A $50 non-refundable waitlist application fee is payable for all applications.
Please choose your preferred payment method:
Please make a bank deposit to Gray Court Preschool account and provide EFT reference below:

BSB Number: 063 231

Account Number: 1006 4554

Reference: Please provide child's name along with the EFT reference.
Total Payable ($)
EFT Reference
Payment Date

DayMonthYear
2 digit day, 2 digit month, 4 digit year

Payment Name
Amount
Payment Reference Number
Already Paid?
Form Name
- Should be Empty:

Debit or Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

Gray Court Pre-School Application Form

Enrolment & Immunisations

Kinder Fee Subsidy

Other Information

Waitlist Application Fee

*