Campaspe Shire Council

Campaspe Shire Council

Kindergarten Central Registration Application
This application is the first step in registering your child for kindergarten. It does not guarantee a placement. Applications are prioritised by applying state government and local priority of access criteria.

Further information can be found in the 2026 Campaspe Shire Kindergarten Guidelines on Council's website.
Deferral Form

YesNo
Form test

Yes
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Child's Details
Child's Name*

First NameLast Name
Gender*

MaleFemaleUnspecified
Child's Date of Birth*

DayMonthYear
Child's Residential Address*

Street Address

Street Address Line 2

TownState

Post Code
Child's Living Arrangement*

Both parentsParent / Primary Carer 1Parent / Primary Carer 2Formal Kinship CareFoster CarePermanent CareResidential CareInformal Kinship Care
Primary language spoken at home
Was this child born in Australia?*

YesNo

End Stopper
Parent's Details
Parent / Primary Carer 1*

First NameLast Name
Relationship to the child*
Residential Address*

Street Address

Street Address Line 2

TownState

Post Code
Phone Number*
Mobile preferred
Email*
Please Note: You will be notified of all correspondence via email
Was this parent born in Australia?*

YesNo

End Stopper
Parent/Career education and occupation data

Kindergarten services must collect the occupation and education details from the parents/carers of all children enrolling in a funded kindergarten program. These details determine the amount of additional funding that individual kindergarten services will receive. Please see here for more details of the occupations within each group. If the person has not been in paid work for the last 12 months, select ‘N’. If the person has had a job or retired within the last 12 months, please choose the most recent occupation group.
What is the highest year of primary / secondary school that Parent / Primary Carer 1 has completed?*
What is the level of the highest qualification that Parent / Primary Carer 1 has completed?*
What is the occupation of Parent / Primary Carer 1?*
What is the occupation group of Parent / Primary Carer 1?*
Would you like to add a second Parent / Primary Carer?*

YesNo
Parent / Primary Carer 2*

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

Same as parent / Primary Carer 1Different to parent / Primary Carer 1
Residential Address*

Street Address

Street Address Line 2

TownState

Post Code
Phone Number
Mobile preferred
Email*
Please Note: You will be notified of all correspondence via email
Was this parent born in Australia?*

YesNo

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Please select a unique session time for each preference.
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
- 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
Collection Notice

The personal and health information collected by Campaspe Shire Council is used to coordinate the Campaspe Shire Kindergarten Central Registration Scheme. The information provided will be used solely for this purpose, or any other directly related purpose and will be collected, stored, and disclosed in line with the Privacy and Data Protection Act 2014 (Vic) and the Health Records Act 2001. The information may be shared with other organisations and government agencies with your consent, or where required by law.

If you wish to access or alter any of the personal and health information you have provided, please contact Council on 1300 666 535 or shire@campaspe.vic.gov.au. For further information on how we manage your information please refer to Council’s Privacy and Data Protection Policy at www.campaspe.vic.gov.au.
Already Paid?

Yes
Send Notification?
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Yes
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show_preferences_only

Yes
Current Date

DayMonthYear
Date
form_name
Offer_Response
Program Type Input
NA 16APR25 REMOVED - Has your child or an older sibling attended the service of your first preference in the last 5 years?*

YesNo
Child/Sibling Name*
eg. Billie Smith
Year*
Child/Sibling Name
eg. Billie Smith
Year
Should be Empty:

Child's Details

Parent's Details

Priority of Access

Health Information

Kindergarten Preferences

Authorisation and Declaration