Wyndham City Council- 1 Step - Application and PPF Form

Wyndham Central Registration

Kindergarten Registration Form.
To update or make any changes to an existing kindergarten registration, please contact Child and Family Support on 1300 370 567 or via email at kinderenrolments@wyndham.vic.gov.au. PLEASE DO NOT COMPLETE A NEW REGISTRATION.
What Kindergarten year is this registration for? *
What kindergarten year is this registration for? *
Mapped Care period *
What program type is this application relevant to?*
Deferral Form

YesNo
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Child's Details
Child's Name (as stated on their birth certificate)*

Legal First Name,Legal Last name
Child's Date of Birth*

DayMonthYear
Please Note:
- Families with children born between January and April can choose which year to start Three-Year-Old Kindergarten. Please remember, that this will determine the year they start school. For more information about when to start kinder visit https://www.vic.gov.au/kinder-quick-guide-parents#when-to-start or our website for more information.
- Children turning three during their kindergarten year can only commence once they have turned three years of age.
For more information, please call Child and Family Support on 1300 370 567
Please Note:
- Children turning six during their kindergarten year require an Exemption from School form approved by the Department of Education. For more information, please call Child and Family Support on 1300 370 567
Warning: Your Application is unable to be accepted at this time.

Based on the Date of Birth for your child, your registration does not meet the age criteria for the year you have requested. Please refer to Starting age calculator
Gender*

MaleFemaleOther
Please attach confirmation of your child’s date of birth (Optional)

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Child's Residential Address*
Language spoken at home*
Is your child of Australian Aboriginal or Torres Strait Islander descent?*

AboriginalTorres Strait IslanderBoth Aboriginal and Torres Strait IslanderNo
If you answered yes, a Child and Family Support Assistant may be in contact with you to discuss Early Start Kindergarten or Pre-Prep Kindergarten Programs available.
ATSI Output
Parent / Legal Guardian Details

(Please be advised all correspondence will be sent to Parent 1)
Parent / Legal Guardian 1*

Legal Given Name/s,Legal Surname
Date of Birth: *

DayMonthYear
Date
Relationship to the child*
Parent's Residential Address*
Phone Number*
Mobile preferred
Email*

Confirmation EmailPlease Note: Parent 1 will be notified of all communications via email. If you do not have an email address please contact Child and Family Support Team 1300 370 567
Parent_1_email
example@example.com
Parent / Guardian 1 language*
Does the parent require an interpreter?*

YesNo
Would you like to add a second parent / guardian?*

YesNo
Parent / Legal Guardian 2*

Legal First Name,Legal Last Name
Date of Birth: *

DayMonthYear
Date
Relationship to the child*
Parent / Legal Guardian 2 Residential Address*
Phone Number*
Mobile preferred
Email*
Language
Does the parent require an interpreter?*

YesNo
Priority of Access - Additional information
By completing the following information, you will help our team support your family. This information will also be used to apply priority of access for a kindergarten placement.

Kindergarten places are allocated to eligible children in accordance with the Department of Education Priority of Access as outlined in the Wyndham City Council Central Registration and Enrolment Scheme and Priority of Access Information. Please refer to our Starting Kindergarten Guide and Priority of Access Information webpage for more information.
Does any of the below apply to you or your child?*

Commonwealth Health Care CardChild Disability Health Care CardCommonwealth Pensioner Concession CardDepartment of Veterans Affairs (DVA) Gold Card or White CardTriplets or QuadrupletsNone of the above
Health Care Card Number or Child Disability Health Care Card Number*
Health Care Card expiry date*

DayMonthYear
Pensioner Card Number*
E.g CRN Number
Pension Card Expiry Date*

DayMonthYear
DVA Card Number*
DVA Card Expiry Date*

MonthDayYear
Date
Please attach a copy of your concession*

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Do you or your child have, or are you applying for, any of the following visas?

Refugee visa (subclass 200)In-country Special Humanitarian visa (subclass 201)Global Special Humanitarian visa (subclass 202)Emergency Rescue visa (subclass 203)Woman at risk visa (subclass 204)Humanitarian Stay visa (subclass 449)Temporary Protection visa (subclass 785)Temporary Humanitarian Concern visa (subclass 786)Safe Haven Enterprise visa (subclass 790)Protection visa (subclass 866)A Bridging visa, and is in the process of applying for one of the above Refugee or Humanitarian visasCurrent or expired ImmiCard
If you answered yes, a Child and Family Support Assistant may be in contact with you to discuss Early Start Kindergarten or Pre-Prep Kindergarten Programs available.
ImmiCard Output
Concession Calculator
KFS

Commonwealth Health Care CardChild Disability 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)Humanitarian Stay visa (subclass 449)Temporary Protection visa (subclass 785)Safe Haven Enterprise visa (subclass 790)Department of Veterans Affairs (DVA) Gold Card or White CardA Bridging visa, and is in the process of applying for one of the above Refugee or Humanitarian visasTriplets or QuadrupletsAboriginal or Torres Strait IslanderCurrent or expired ImmiCard
Please attach a copy of your visa*

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Max 10MB total file size Cancelof
Are you a resident of Wyndham or have a connection through work, study or childcare?*

YesNo
Have any of your child’s siblings ever attended your first preferenced Kindergarten?*

YesNo
Sibling details (First Name, Last Name, Year of Attendance)*
Sibling's Kindergarten*
Sibling Kindergarten

College RoadDr Charles ProuseQuantin BinnahRiverdeneRiverwalk Primary SchoolThe ManorThomas ChirnsideWerribee West Family CentreWyndham ParkKarobranMossfield Integrated Family Centre (Interim Name)The GrangeQuantin Binnah - Woodville CentreWilmingtonWoodville ParkYerambooeeLittle RiverBalim Balim Early Years at Wunggurrwil Dhurrung CentreLaa Yulta Primary School KindergartenIramooKU Birnbial KindergartenManor LakesVista WayWyndham Vale Primary SchoolAlamandaFeatherbrookJamieson WayMiddleton DrivePoint Cook Community Learning CentreSaltwaterArndell ParkKoomail TardyMainview BoulevardWarreen Primary School KindergartenBembit Bag-rook KindergartenDavis Creek Primary SchoolKU Dianella KindergartenPenroseTarneitTarneit CentralWimba Primary School KindergartenBarayip Primary School KindergartenTruganina Community CentreLollypop Creek Community Centre
Has your child already attended kindergarten in the previous year?*

Yes, Three-Year-Old kindergartenYes, Four-Year-Old kindergartenNo
If yes, please provide details of Service Name and phone number*
Are your child's immunisation up to date?*

YesNo
If you have answered no, please talk to your doctor or our immunisation team to organise your immunisations before kindergarten starts.

https://www.wyndham.vic.gov.au/services/childrens-services/immunisation
Has your child ever been diagnosed as at risk of anaphylaxis?*

YesNo
Does your child have asthma?*

YesNo
Does you child have any other diagnosed medical condition e.g diabetes, epilepsy?*

YesNo
Please Specify*

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Is your child diagnosed or undergoing assessment for a disability/disorder/condition?*

YesNo
If yes, please specify*
max 255 characters
Does your child have additional needs, supported by:*

National Disability Insurance Scheme Plan (NDIS)A referral from Preschool Field OfficerMaternal Child Health NurseEarly Childhood Intervention ServiceNone
If yes, please provide details including Agency Type, support service/ agency case workers name and contact details*
max 255 characters
Please attach a copy of your current NDIS Plan or supporting documentation, such as a referral*

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Are there any specialists or agencies involved with your child or family? E.g Department of Families, Fairness and Housing, Noahs Ark, IPC, Anglicare, Scope, Royal Childrens Hospital, paediatrician?

YesNoOn a waiting list
Please provide contact details below and attach any supporting documentation
Please attach a copy of the relevant documentation

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Is your child or family known to Child Protection Services or the Department of Families, Fairness and Housing?*

YesNo
Please provide details of your child protection case workers name and contact details*
max 255 characters
If you answered yes, a Child and Family Support Assistant may be in contact with you to discuss Early Start Kindergarten or Pre-Prep Kindergarten Programs available.
Child's Living Arrangement*

Both ParentsParent / Guardian 1Parent / Guardian 2Formal Kinship CareFoster CarePermanent CareResidential CareInformal Kinship CareOut of home care arrangement (including kinship care)
Out of home care is a term used to describe the placement of children away from their parents, due to concern they are at risk of significant harm.

A Child and Family Support Assistant may be in contact with you to discuss Early Start Kindergarten or Pre-Prep Kindergarten Programs available.
Please attach any supporting documentation*

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E.g Permanent Care Order, Guardianship Cancelof
Are there any court orders, parenting orders or parenting plans in place?*

YesNo
Please attached any supporting documentation*

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Do you have concerns regarding your child’s development, and believe they may need additional support to fully participate in the program?*

YesNo
Please provide details*

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Would you also like to register another sibling in the same kindergarten and year?

YesNo
Please note: Once you have completed this registration you will be redirected to register your second child.
P1 eligible? (NOT USED ATM)
P2 eligible? (NOT USED ATM)
input_PPPC
Pre Prep Priority Cohort
Kindergarten Preferences

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Please select a different group for each preference. You will not be able to submit this form until you have selected a different group.
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Authorisation and Declaration
By submitting this registration form, I understand and agree to the following:
PRIVACY NOTIFICATION

Wyndham City Council is bound by the Privacy and Data Protection Act 2014 and the Health Records Act 2001. Your consent is required for the collection and use of your personal and/or health information and that of your child. The personal and health information requested on this form is being collected by Council for the purpose of planning and delivering proper health and developmental care and education services to your child while obtaining and/or attending Wyndham services (which includes MCH, Kindergarten, PFSO Services). The information will be used by Council and it may be shared with Educators, early intervention, health and welfare service providers for the purposes mentioned. Your information will be stored in Council’s Customer Database and used to identify you when communicating with Council and for Council to deliver services and information to you. The information will only be disclosed to other persons or agencies if consented to by both parents; or the authorised parent/guardian; or as permitted by law. For further information on how your personal and health information will be handled, see Council’s Privacy Policy on its website. Authorised parents and guardians may apply for access and/or amendment of the information. Requests for access and/or amendment of the information should be made in writing to Council’s Privacy Officer.
Would you like to stop the automatic acknowledgment email?
Already Paid

YesNo
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Yes
Internally added

Yes
Payment Name
show_preferences_only

Yes
form_name
Form_name_to_trigger_workflow
Offer_Response
Program Type Input
Current Date

DayMonthYear
Date
Cutoff date calculator
Cutoff Date

DayMonthYear
Date
Age as at cutoff
ineligible to apply
Total Amount
Payment type
Not Used Old 2024 preferences
Health Care Card Number or Child Disability Health Care Card Number
E.g CRN Number
Health Care Card Number or Child Disability Health Care Card Number
E.g CRN Number
Show_Temporary_Preferences
Year
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Should be Empty:

Wyndham Central Registration

Child's Details

Parent / Legal Guardian Details

Priority of Access - Additional information

Kindergarten Preferences

Authorisation and Declaration