St John's Kindergarten Croydon

Application Form

St John's Kindergarten Croydon
Child's Name*

First NameLast Name
Child's Date of Birth*

DayMonthYear
Birth Certificate*

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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
Please upload proof of your address*

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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
Is your child currently attending the 3-year-old program at St John’s Kindergarten?*

YesNo
Do you have children that have previously attended St Johns Kindergarten Croydon?*

YesNo
Please provide details of your child's siblings (e.g. name and year of attendance)*
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
Please attach your child's immunisation record*

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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
Is this child or family known to child protection?*

YesNo
Children with Additional Needs
Does your child have any additional 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 year would you like your child to commence care? *
[MAPPED]What year would you like your child to commence care? *
What program type is this application relevant to?*
Preference One*
Send Notification?*
Current Date

DayMonthYear
Date
Payment_type
payment_1_amount
payment_1_name
payment_1_item
form_name
programType
token
Already Paid?

Yes
show_preferences_only

Yes
transfers

Yes
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Yes
Deferral Form

Yes
Should be Empty:

Application Form

Enrolment & Immunisations

Kinder Fee Subsidy

Children with Additional Needs

Kindergarten Preferences