Stonnington Council - Application Form

City of Stonnington
Kindergarten Central Registration Form
Deferral Form

YesNo
The Central Registration Scheme for Funded Kindergarten is administered by the City of Stonnington on behalf of participating kindergarten services.

Please note, this is a Registration Form only and does not guarantee a kindergarten placement. This form is for funded three and four-year-old kindergarten places at participating services only. To receive updates about changes to participating services and confirmation of application timelines, please submit a Kindergarten Expression of Interest.

Funded kindergarten registrations are prioritised based on
- Victorian State Government's Kindergarten Guidelines
- existing service connection to the service of their first preference
- prior sibling connection to the service
- the child's residential proximity
It is free for all families to submit their Registration through the Stonnington Central Registration Scheme. Please contact individual kindergarten services directly for information about term fees and costs.

For assistance in completing this form, please contact our Central Registration Officer on 03 8290 1690, or via email at centralregistration@stonnington.vic.gov.au

For further information about the Stonnington Central Registration Scheme (CRS), please refer to our Guidelines which can be found at stonnington.vic.gov.au/kinder
To complete this form, you will need:

1. Documentation confirming your child's date of birth by providing one of the following:
- Birth certificate/birth extract
- Passport
- Immunisation Statement (MyGov)
- Statutory Declaration verifying your child’s date of birth to be true and correct.
2. Supporting documents (as applicable)

To be given preference for local kindergartens and/or to meet Department of Educations’ Priority of Access criteria you may additionally be asked to provide:
- Proof of residence
  - Current copy of parent/guardian’s license, or
  - Current rates notice, or
  - Amenities bill issued within the last 3 months.
- Proof of eligible Concession and/or Visa
- Documentation from relevant support services confirming high support needs or disability
Child's Details
Child's Name*

First NameLast Name
Gender*

MaleFemaleUnspecified
Child's Date of Birth*

DayMonthYear
Please attach confirmation of your child’s date of birth

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Child's Residential Address*

Street Address

Street Address Line 2

SuburbState

Post Code
Primary language spoken at home*
Are you currently linked in with a Maternal and Child Health Nurse?*

YesNo
Please confirm which service you have most recently attended*
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.
Are your child's immunisations up-to-date?*

YesNo
Please visit a health professional or a City of Stonnington Immunisation session to organise your immunisations before the kindergarten year begins. Evidence of up to date immunisations must be provided to the kindergarten before your child starts kindergarten.
Parent's Details
Parent / Guardian 1*

First NameLast Name
Relationship to the child*
Residential Address*

Street Address

Street Address Line 2

SuburbState

Post Code
Phone Number*
Mobile preferred
Email*
Please Note: You will be notified of all correspondence via email
Does the parent require an interpreter?

YesNo
Language required for interpreter
Would you like to add a second parent / guardian?*

YesNo
Parent / Guardian 2*

First NameLast Name
Relationship to the child*
Parent / Guardian 2 Address*

Same as parent / guardian 1Different to parent / guardian 1
Residential Address*

Street Address

Street Address Line 2

SuburbState

Post Code
Phone Number*
Mobile preferred
Email*
Please Note: You will be notified of all correspondence via email
Kinder Fee Subsidy
Department of Education provides a fee subsidy for eligible families. Please indicate if you are eligible for one of the following concessions, or meet one of the following criteria (optional):

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 IslanderCurrent or expired ImmiCard
Health Care Number*
Health Care expiry date*

DayMonthYear
Pensioner Number*
Pension Card Expiry Date*

DayMonthYear
Please attach a copy of your concession / visa

Max 10MB total file size
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Please note: The eligibility of concessions may vary from time-to-time. Up-to-date information can be found here.
Does your child have any additional needs that require support for them to fully participate in kindergarten? e.g. identified specific disability or developmental delay?*

YesNo
If yes, please specify*

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Is your child registered with a specific Support service / agency?*

YesNo
Name of support service / agency*

0/255
Is your child or family known to child protection, or in Out-of-Home care?*

YesNo
P1 Eligible?
P2 Eligible?
Input PPPC
Pre Prep Priority Cohort
Kindergarten Preferences

Funded kindergarten registrations are prioritised based on the Victorian State Government's Kindergarten Guidelines, and Stonnington's local allocation criteria
IMPORTANT
- Three and four-year-old kindergarten places are allocated separately. We will make every effort to place your child at the same service for four-year-old kindergarten. Unfortunately, we can’t guarantee this.
- All programs and timetables are set by each individual service and are subject to change.
- Offers through the Central Registration Scheme are based on the vacancies provided to our team by each service; these may include offers for multi-age and/or rotational groups.
- We recommend visiting your preferred service before registering.
- Visit stonnington.vic.gov.au/kinder for further information
TYPES OF PROGRAM

Each kindergarten offers different kinds of programs (hours, activities and learning styles).

There are two sorts of kindergarten programs that Early Years services provide.

Sessional programs: these have a set timetable and run 2 to 5 days per week within the school term only, charging fees per term (where applicable).
Integrated programs: kindergarten is offered as part of a long day care enrolment. These operate at least 8 hours per day for 48 weeks per year, charging fees daily.

When completing your registration, please check whether the Service is offering SESSIONAL or INTEGRATED programs to ensure you are applying for your preferred program model.

For further information on how Free Kinder applies to these programs please visit www.stonnington.vic.gov.au/kinder
What year would you like your child to commence kindergarten? *
What year would you like your child to commence kindergarten? *
Form Test
What program type is this application relevant to?*
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.
2nd Year of Funded Kindergarten

Children enrolled in a funded kindergarten program are eligible to access an addtional year of funded kindergarten only if the early childhood teacher has assessed eligibility for your child to be considered for a second year.
Has your child already attended a funded year of three-year-old kindergarten?*

YesNo
Has your child already attended a funded year of four-year-old kindergarten?*

YesNo
Are you applying for an additional year of funded kindergarten for your child as recommended by their teacher and approved by the Department of Education?*

ApprovedNot yet Approved
Where is your child currently attending kindergarten?*

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Have you also applied (or plan to apply) for any Kindergarten Programs not included in this registration?

YesNo
Please provide the details of any additional applications you have made
Stonnington's Local Allocation Criteria
Further information about the application of the Department of Education’s Priority of Access and Stonnington’s Local Allocation Criteria can be found by visiting stonnington.vic.gov.au/kinder
Does your child meet any of the following prior connection criteria in relation to the kindergarten selected as Preference One above. (optional)

Child currently attends the kindergartenA sibling of this child attended the kindergarten in the last 5 years
Name of sibling and year of attendance*
Do you live in the City of Stonnington?*

YesNo
We accept:
- Current copy of parent/guardian’s license, or
- Current rates notice, or
- Amenities bill issued within the last 3 months.
Please attach proof of residential address*

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Are there any additional circumstances that may qualify your application for additional consideration? (refer to page 15 of the Stonnington CRS Guidelines linked below)*

YesNo
Stonnington CRS Guidelines
Please provide details below*

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Authorisation and Declaration
By submitting this registration form, I understand and agree to the following:
- All information provided by me is true and correct
- All information provided by me may be audited at any time. This registration or subsequent kindergarten allocation could be reallocated or withdrawn if the information is incorrect
- Failure to provide complete and correct information may result in the registration being excluded from the allocation process
- Where a previous application has been made to Stonnington Council I agree that my most recent (last) application will be considered only
- This is a registration form and does not guarantee a three or four-year-old kindergarten placement
- Three and four-year-old kindergarten places are allocated separately. Every effort will be made to place my child at the same service for four-year-old kindergarten. However, there is no guarantee of this
- I can be contacted by Council from time to time with information regarding relevant events, issues and services
- To participate in the Central Registration Scheme my personal information will be shared securely with the preferred kindergarten service provider nominated by me on this or subsequent forms
Privacy Collection Notice for the Kindergarten Central Registration Form

The City of Stonnington Central Registration Scheme enables a parent to apply to kindergarten on behalf of their child or children (the Scheme). We collect the information about you and your child on the registration form to administer the Scheme. The information collected includes Personal Information, Health Information and/or Sensitive Information as defined in the Privacy and Data Protection Act 2014 (Vic); The Privacy Act 1988 (Cth) and the Health Records Act 2001 (Vic) (collectively Personal and Health Information).

The Personal and Health Information is being collected and will be used for the follow primary purposes:
- To enable your child to participate in the Scheme;
- To contact you about whether a kindergarten place has been allocated to your child;
- To match an applicant with an available place in kindergarten or early years service;
- To contact you about your application
- To refer you to any Council services, including Maternal Child Health Services
Council will disclose your Personal and Health Information to EnrolNow (online platform that houses the registration form) and Early Years’ Service Providers within the City of Stonnington. In some instances and if required under the National Education and Care Services Law and Regulations, Council may also disclose your Personal and Health Information to Victorian Child Protection Services, Department of Health, and the Department of Education and Training.

If you do not provide the Personal and Health Information your child will not be eligible to participate in the Scheme. If you wish to access or alter any of the Personal Information that you have supplied to Stonnington City Council, please contact Council’s Privacy Officer by telephoning 03 8290 1333 or emailing council@stonnington.vic.gov.au. For more information about how Council handles Personal and Health Information, please refer to our Privacy Policy and Health Records Policy.
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Sessional Program Providers
Glen Education Serrell Street Kindergarten – Sessional 54 Serrell Street Malvern 3145	Groups are multi-age for children aged 3 to 5 years Set timetable - minimum two-day attendance Fees: Two days Free Kindergarten and extra days offered at an additional cost paid by family Enrolment hours and costs: See service website for timetable options
South Yarra Preschool - Sessional Horace Petty Housing Estate Rear of 259 Malvern Road South Yarra 3141	Groups are multi-age for children aged 3 to 5 years Set timetable three days a week Enrolment hours: See service website for timetable options Fees: all programs offered within Free Kinder framework

Integrated Program Providers
Princes Close Early Years Service – Integrated 17 Princes Close Prahran 3181	Kindergarten program offered through Long Day Care placement Minimum two-day attendance Enrolment hours: 7.30am – 6pm Fees: daily rate (see service website for details)
Stonnington Children’s Centre – Integrated 110 Union Street Windsor 3181	Kindergarten program offered through Long Day Care placement. Minimum two-day attendance Enrolment hours: 7.30am – 6pm Fees: daily rate (see service website for details)
Windsor Community Children’s Centre– Integrated 131-133 Union Street Windsor 3181	Kindergarten program offered through Long Day Care placement. Minimum two-day attendance Enrolment hours: 7.30am – 6pm Fees: daily rate (see service website for details)

Sessional Program Providers
Glen Education Serrell Street Kindergarten – Sessional 54 Serrell Street Malvern 3145	Groups are multi-age for children aged 3 to 5 years Set timetable - minimum two-day attendance Fees: Two days Free Kindergarten and extra days offered at an additional cost paid by family Enrolment hours and costs: See service website for timetable options

Integrated Program Providers
Princes Close Early Years Service – Integrated 17 Princes Close Prahran 3181	Kindergarten program offered through Long Day Care placement Minimum two-day attendance Enrolment hours: 7.30am – 6pm Fees: daily rate (see service website for details)
Stonnington Children’s Centre – Integrated 110 Union Street Windsor 3181	Kindergarten program offered through Long Day Care placement. Minimum two-day attendance Enrolment hours: 7.30am – 6pm Fees: daily rate (see service website for details)
Windsor Community Children’s Centre– Integrated 131-133 Union Street Windsor 3181	Kindergarten program offered through Long Day Care placement. Minimum two-day attendance Enrolment hours: 7.30am – 6pm Fees: daily rate (see service website for details)

City of Stonnington

Kindergarten Central Registration Form

Child's Details

Immunisations

Parent's Details

Kinder Fee Subsidy

Kindergarten Preferences

Stonnington's Local Allocation Criteria

Authorisation and Declaration