Moorabool Shire Council - Registration Form

  • Moorabool Shire Council Kindergarten Registration Form

  • Gender*
  • Child's Date of Birth*
     - -
  • Child's Living Arrangement*

  • Parent / Guardian Details

  • Address

  • Do any of the below apply to Parent / Guardian 1?*
  • Does Parent / Guardian 1 hold a Commonwealth Health Care Card?
  • Health Care Expiry Date*
     - -
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  • Does Parent / Guardian 1 hold a Commonwealth Pensioner Concession Card?
  • Pensioner Card Expiry Date*
     - -
  • Browse Files
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  • Does Parent / Guardian 1 hold a Veterans Affairs Card?
  • Department of Veterans Affairs Expiry Date*
     - -
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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*
  • Do any of the below apply to Parent / Guardian 2?*
  • Does Parent / Guardian 2 hold a Commonwealth Health Care Card?
  • Health Care Expiry Date*
     - -
  • Browse Files
    Cancelof
  • Does Parent / Guardian 2 hold a Commonwealth Pensioner Concession Card?
  • Pensioner Card Expiry Date*
     - -
  • Browse Files
    Cancelof
  • Does Parent / Guardian 2 hold a Veterans Affairs Card?
  • Department of Veterans Affairs Expiry Date*
     - -
  • 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
  • Browse Files
    Cancelof

  • Please note: Based on the Date of birth you have provided, your child is not within the correct age bracket to commence/attend Kindergarten in the year you have selected. Please contact us by the following details if you wish to discuss further. 

    earlyyears@moorabool.vic.gov.au
    0353667100

  • Additional information

  • 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 and access to additional hours for priority cohorts (as defined by the Department of Education)

  • Do you or your child identify as Aboriginal or Torres Strait Islander?*
  • Do any of the below apply to your child?*
  • Do you or your child hold a Commonwealth Health Care Card?
  • Health Care expiry date*
     - -
  • Browse Files
    Cancelof
  • Do you or your child hold a Pensioner Concession Card?
  • Pension Card Expiry Date*
     - -
  • Do you hold a Veterans Affairs Card?
  • 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?
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  • Is this child or family at risk of abuse or neglect?*
  • If yes, please select from one of the following

  • Children with additional needs are defined as:

    • Require additional assistance to fully participate in the kindergarten program.
    • Require a combination of services which are individually planned.
    • Have an identified specific disability or developmental delay
  • Does your child have any additional needs*
  • If yes, please select which of the following applies*
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  • Is your child registered with a specific Support service / agency?*

  • Residency

  • Are you currently or intending to be a Moorabool resident?*

  • Please upload one of the following as your proof of residence.

    • Rates Notice
    • Driver's Licence
    • Utility Bill

  • Please upload one of the following as your proof of intention to become a resident

    • Contract of Sale, Rental Agreement or Certified Statutory Declaration
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  • Do you have a connection to Moorabool Shire through work, study or childcare arrangements?*
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  • Kindergarten Preferences

    • 2026 / 2027 Preferences 

    •  Please select a unique option for each preference.

    • *Kindergartens in a Long Daycare service may incur fees. Please contact the service directly for more information.

    • 2025 Preferences 

    • *Kindergartens in a Long Daycare service may incur fees. Please contact the service directly for more information.

    •  Please select a unique service for each preference. 

    • collapse stopper 

    • Authorisation and Declaration

      • I acknowledge and understand that under the No-Jab-No Play legislation, in order to finalise enrolment of my child I will need to supply the kindergarten with evidence that my child is; fully immunised for age or on a vaccination catch up program or unable to be fully immunised for medical reasons.
      • I agree to Moorabool Shire Council's Kindergarten Central Registration Policy. Please refer to the Moorabool Shire Council website to access this document.
      • I agree to Moorabool Shire Council's privacy policy.
      • I, being the Parent/Legal Guardian, confirm my registration for my child’s three-year-old or four-year-old kindergarten register into Moorabool Shire Council’s Central Register System.
    • Date
       - -
    • Cutoff Date
       - -
    • DNU_Mapped - Do you or your child identify as Aboriginal or Torres Strait Islander?*
    • DNU_Name of support service / agency (type)*
    • Should be Empty: