• Palm Grove Preschool Application Form

  • If you would like to place your child on the waitlist at Palm Grove Preschool 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 $45 registration fee via direct funds transfer.

  • Gender*
  • Child's Date of Birth*
     - -
    2 digit day, 2 digit month, 4 digit year
  • Address
  • Does Parent / Guardian 1 hold a Commonwealth Health Care Card?*
  • Health Care Expiry Date*
     - -
    2 digit day, 2 digit month, 4 digit year
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  • Does Parent / Guardian 1 hold a Commonwealth Pensioner Concession Card?*
  • Pensioner Card Expiry Date*
     - -
    2 digit day, 2 digit month, 4 digit year
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  • Does Parent / Guardian 1 hold a Veterans Affairs Card?*
  • Department of Veterans Affairs Expiry Date*
     - -
    2 digit day, 2 digit month, 4 digit year
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  • Does Parent / Guardian 1 have a NDIS number or are they undergoing assessment for disability under the NDIS currently?*
  • 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)?*
  • 0/230
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  • Would you like to add a second parent / guardian?*
  • Address*
  • Does Parent / Guardian 2 hold a Commonwealth Health Care Card?*
  • Health Care Expiry Date*
     - -
    2 digit day, 2 digit month, 4 digit year
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  • Does Parent / Guardian 2 hold a Commonwealth Pensioner Concession Card?*
  • Pensioner Card Expiry Date*
     - -
    2 digit day, 2 digit month, 4 digit year
  • Browse Files
    Cancelof
  • Does Parent / Guardian 2 hold a Veterans Affairs Card?*
  • Department of Veterans Affairs Expiry Date*
     - -
    2 digit day, 2 digit month, 4 digit year
  • Browse Files
    Cancelof
  • Does Parent / Guardian 2 have a NDIS number or are they undergoing assessment for disability under the NDIS currently?*
  • 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)?*
  • 0/230
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  • 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?*

  • Kinder Fee Subsidy

  • Does your child hold a Commonwealth or Disability Health Care Card?*
  • Health Care expiry date*
     - -
    2 digit month, 2 digit day, 4 digit year
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  • Is this child a multiple birth (triplet or quadruplet or more)?*
  • Do you or your child have, or are you applying for, any of the following visas?

  • Second Year of Funded Kindergarten

    Children enrolled in a funded kindergarten program are eligible to access a repeat year of funded 3 or 4 year old kindergarten, only if the early childhood teacher has assessed eligibility for your child to be considered for a second year.

  • Is your child applying for a second year of funded {servicevicepreference_program-type}?
  • Is this child or family at risk?*
  • If yes, please select from the following:*
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  • Supporting documentation will need to be sighted on commencement at Sample Kindergarten 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*

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

  • Registration Fee

  • A $45 non-refundable waitlist fee is payable for applicants.
    If you wish to seek an exemption from this fee due to priority access, please contact the administration officer at admin@palmgrovekinder.com.
    Payment can be made via direct funds transfer using the following details:

    Total Payable: $45
    Account Name: Palm Grove Preschool Centre Inc.
    BSB: 633000
    Account Number: 173349408
    Payee Description: Child’s Name

  • Date Paid*
     - -
    2 digit day, 2 digit month, 4 digit year
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