City of Casey

City of Casey

Kindergarten Expression of Interest Form
Deferral Form

YesNo
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The City of Casey's Centralised Registration and Enrolment Scheme (CRES) consists of Council-managed kindergartens and independent organisations that are part of the CRES. Registrations can be submitted in the year before children are eligible to attend 3-year-old or 4-year-old kindergarten.

A child must be three or four years old on or before 30 April in the year they are due to attend kindergarten. The Starting Kindergarten age calculator provides information on when your child is eligible to attend kindergarten.
Child's Details
Child's Legal Name*

First Legal NameLast Legal Name
Gender*

MaleFemaleNot disclosed
Is your child a twin?*

NoYes
Child's Date of Birth*

DayMonthYear
Please provide proof of birth documentation

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One of these documents can be used as Proof of Birth : Birth Certificate, Passport or Immunisation History Statement. Your registration will not be confirmed until one of these proof of birth documents is provided. You can give these documents at a later date. Cancelof
Child's residential address
Parent's Details
Parent / Guardian 1*

Legal First NameLegal Last Name
Relationship to the child*
Please specify relationship
Parent / Guardian 1 Residential Address*
Phone Number*
Mobile preferred
Email*
Please Note: You will be notified of all correspondence via email
Residency Status*

I live in the City of CaseyI do not live in the City of Casey but I am a ratepayer of the City of CaseyI will be living in the City of Casey in the futureI do not live in the City of Casey
Future Address*
Does the parent require an interpreter?*

YesNo
Language*
Does Parent / Guardian 1 have a NDIS number or are they undergoing assessment for disability under the NDIS currently?*

YesNo
NDIS Reference Number
Please attach a copy of the assessment or letter

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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)?*

YesNo
Please provide further details*

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

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Would you like to add a second Parent / Guardian?*

YesNo
Parent / Guardian 2*

Legal First NameLegal Last Name
Relationship to the child*
Please specify relationship
Parent / Guardian 2 Residential Address*
Phone Number*
Mobile preferred
Email*
Does the parent require an interpreter?*

YesNo
Language*
Does Parent / Guardian 2 have a NDIS number or are they undergoing assessment for disability under the NDIS currently?*

YesNo
NDIS Reference Number
Please attach a copy of the assessment or letter

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Cancelof
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)?*

YesNo
Please provide further details*

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

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Additional information about your child
By completing the following information, you will help our team support your family. This information will also be used to access priority of access for a kindergarten placement
Does your child identify as Aboriginal / Torres Strait Islander?*

NoAboriginalTorres Strait IslanderBoth Aboriginal and Torres Strait Islander
ATSI Output
Is your child or has your child been at risk of abuse or neglect?*

NoYes
If yes, please select from one of the following*
Are there any court orders relating to the powers, duties, responsibilities or authorities of any person in relation to the child or access to the child?*

NoYes
Please attach a copy of relevant documentation

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Max 10MB total file size Cancelof
Please select the type of court order in effect and upload a copy below:

Family Law Order/Parenting Order (Formal custody agreement)Parenting Plan/Agreement (Informal arrangement)Intervention Order (Including Family Violence Intervention Order)Family Reunification OrderInterim Accommodation OrderCare by Secretary OrderInformal Care arrangementOther
Child's Living Arrangement*

Both ParentsSole ParentFormal Kinship CareFoster CarePermanent CareInformal Kinship CareOther
Do you or your child or have you or your child ever held one of the following VISA's (This does not include student visas, family and partner visas, or working and skilled visas.)*

NoRefugee 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)Resolution of Status visa (subclass 851)Current or expired ImmiCard
Mapped Visa Type

Refugee 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)Resolution of Status visa (subclass 851)Current or expired ImmiCard
Please attach a copy of your visa

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Max 10MB total file size Cancelof
What Country were you born in?*
What year did you come to Australia?*
Do you have one of the following:*

NoCommonwealth Health Care CardChild Disability Health Care CardCommonwealth Pensioner Concession CardDepartment of Veterans Affairs (DVA) Gold Card or White CardTriplets or Quadruplets
Do you or your child hold a Commonwealth Health Care Card?

YesNo
Health Care Number
Health Care start date

DayMonthYear
Health Care expiry date

DayMonthYear
Please attach a copy of your Health Care card*

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Do you or your child hold a Pensioner Concession Card?

YesNo
Pensioner Concession Card Number
Pensioner Concession Card card start date

DayMonthYear
Pensioner Concession Card Expiry Date

DayMonthYear
Please attach a copy of your Pensioner Concession Card*

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Do you hold a Veterans Affairs Card?

YesNo
Department of Veterans Affairs Number
Department of Veterans Affairs Expiry Date

MonthDayYear
Date
Please attach a copy of your Department of Veterans Affairs card*

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Is this child a multiple birth (triplet or quadruplet or more?)

YesNo
Please note: The eligibility of concessions may vary from time-to-time. Up-to-date information can be found here.
Does your child have additional needs?*

NoYesUndergoing Diagnosis
If yes, please specify*
max 255 characters
Type of Additional Needs*

BehaviouralDevelopmentalPhysicalHearing, SpeechOther
Please upload any supporting documentation

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If yes, which of the following relevant professionals made the assessment?*
If 'Other', please provide the profession*
Does your child have complex medical needs that present barriers to accessing a kindergarten program (supported by a letter from a medical practitioner or specialist)?*

NoYes
Please provide further details*

0/255
Please attach a copy of the assessment or letter

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Cancelof
Does your child have a NDIS number or are they undergoing assessment for disability under the NDIS currently?*

NoYes
NDIS Reference Number
Please attach a copy of the assessment or letter

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Cancelof
Please Specify

0/255
Have you been supported completing this Expression of Interest? e.g Maternal Child Health, CALD worker, Early Intervention worker, Preschool Field Officer, Supported Playgroup Officer, Child First, Family member or Friend, Other.*

NoYes
Name of Support Person/Service/Agency*

CALD Outreach OfficerEnhanced Maternal Child Health NurseEnhanced Maternal Child Health Family Case WorkerMaternal Child Health NurseAMES Case WorkerAEL case workerChild Protection (DFFH) workerSupported Playgroup OfficerEarly Intervention WorkerPreschool Field OfficerFamily member or FriendOther
Please provide details of your case workers name and contact details*
max 255 characters
Name of support service / agency*
max 255 characters
Kindergarten Preferences
What year would you like your child to commence kindergarten? *
What program type is this application relevant to?*
Preference One*
PreferenceOne
Preference Two
PreferenceTwo
Preference Three
PreferenceThree
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.
Warning: Please select unique service preferences
Authorisation and Declaration
Declaration

In submitting this kindergarten application you are:
- Acknowledging that the information provided on this form is true and correct to the best of my knowledge.
- Understanding that this form is a legal document and penalties exist for providing false or misleading information.
- Acknowledging that the Council accepts this future kindergarten registration form on behalf of participating kindergartens but gives no guarantee that a place will be available in the kindergarten nominated.
- Acknowledging that the Council will be using data from this kindergarten registration form for future planning which may include sharing waiting lists data between Council internal departments and the Department of Education and the Victorian School Building Authority.
- Understanding that we collect your personal information where we reasonably believe it is necessary for performing our enrolment functions and activities. In most enrolment matters we will collect personal and health information, including but not limited to sensitive information, directly from you or your authorised representative. Your information will only be collected if you give your consent at the time we collect the information from you, unless an exception in the Privacy Act or Health Records Act applies. The information requested on this form is being collected by City of Casey for the purpose of enrolment for your child/ren into a kindergarten program. The information collected will be disclosed to the kindergarten you have elected for your child to attend. If you wish to gain access to the information provided or amend any of the information you have supplied to City of Casey, please contact Council via telephone on 9705 5200 or use this www.casey.vic.gov.au/council/contact/feedback-form. City of Casey will not be liable for third party disclosure, distribution, copy or misuse of the information contained in this enrolment form.
City of Casey is committed to protecting your privacy. Your information will be handled in accordance with the Privacy and Data Protection Act 2014 and Health Records Act 2001. All personal and health information including but not limited to sensitive and/or confidential information collected by the City of Casey will only be used for the purposes outlined within our Privacy Policy.

Council’s Privacy Policy is available from our website www.casey.vic.gov.au/council/your-council/privacy and all Council Customer Service Centres. For further Information about how Council manages and uses your personal information or how you can access and/or amend your personal information please contact Council’s Privacy Officers via our website www.casey.vic.gov.au/council/contact/feedback-form or by calling on 9705 5200
Would you like to pause the send of a notification email for this change?

YesNo
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Already Paid?

Yes
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Yes
internal_use_only

Yes
show_preferences_only

Yes
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Offer_Response
Program Type Input
showPauseQn
Date

DayMonthYear
Date
**Please keep this paragraph on the form - will be used when EOI close until they reopen at the start of the year**

Kindergarten Expressions of Interest applications are currently closed.

If you would like to register for kindergarten please visit our Register for Kindergarten page at Register for kindergarten | City of Casey
Cutoff date calculator
Cutoff Date

DayMonthYear
Date
Age as at cutoff
ineligible to apply
Should be Empty:

Child's Details

Parent's Details

Additional information about your child

Kindergarten Preferences

Authorisation and Declaration