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

Yes
Child's Name*

First NameLast Name
Gender*

MaleFemaleUnspecified
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

Same as childDifferent 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?*

YesNo
Parent / Guardian 2*

First NameLast Name
Relationship to the child*
Address*

Same as childDifferent 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?*

YesNo
Kinder Fee Subsidy
Do any of the following concessions, or criteria apply

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 IslanderImmiCard
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*

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:
Does this child have a sibling who has previously attended this kindergarten?*

YesNo
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

Payment Name
Amount
Payment Reference Number
Already Paid?

Yes
Form Name
Should be Empty:

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Gray Court Pre-School Application Form

Enrolment & Immunisations

Kinder Fee Subsidy

Other Information

Waitlist Application Fee