Westdale Kindergarten - Application Form 2 Step

Westdale Kindergarten Application Form
Child's Name*

First NameLast Name
Child's Date of Birth*

DayMonthYear
Birth Certificate

Browse Files

Cancelof
Gender*

MaleFemaleUnspecified
Language/s spoken at home:
Parent / Guardian 1*

First NameLast Name
Relationship to the child*
Address*

Street Address

Street Address Line 2

CityState

Post Code
Phone Number*
Email*
Please Note: You will be notified of all correspondence via email
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
Address*

Street Address

Street Address Line 2

CityState

Post Code
Phone Number*
Email*
Please Note: You will be notified of all correspondence via email
Do you have children that have previously attended [TBC]?

YesNo
Do you work or live in the city of [TBC]?

YesNo
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?*

YesNo
Kinder Fee Subsidy

DET provides a fee subsidy for eligible families
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: www.education.vic.gov.au/childhood/parents/support/Pages/financialassist.aspx
Children with Special Needs
Does your child have any special needs*

YesNo
If yes, please specify:*
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?*

YesNo
Name of support service / agency:*
Kindergarten Preferences
What year would you like your child to commence care? *
What program type is this application relevant to?*
Which days are you interested to attend?

Monday & WednesdayTuesday & ThursdayNo preference
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.
Preference One
Send Notification?*
Payment_type
payment_1_amount
payment_1_name
payment_1_item
form_name
programType
token
Already Paid?

Yes
show_preferences_only

Yes
transfers

Yes
internal_hide

Yes
Cutoff date calculator
Cutoff Date

DayMonthYear
Date
Age as at cutoff
ineligible to apply
Deferral Form

Yes
Current Date

DayMonthYear
Date
CURRENT YEAR
YEAR OF APPLICATION
currentorupcoming
Current_Session_Preferences

Monday & WednesdayTuesday & ThursdayNo preference
Upcoming_Session_Preferences

Monday & WednesdayTuesday & ThursdayNo preference
Should be Empty:

Westdale Kindergarten Application Form

Enrolment & Immunisations

Kinder Fee Subsidy

Children with Special Needs

Kindergarten Preferences