• Application Form

    St John's Kindergarten Croydon
  • Child's Date of Birth*
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  • Gender*
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  • 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*
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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)?*
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  • Would you like to add a second parent / guardian?*
  • Parent / Guardian 2 Address*
  • Does Parent / Guardian 2 hold a Commonwealth Health Care Card?
  • Health Care Expiry Date*
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  • Does Parent / Guardian 2 hold a Commonwealth Pensioner Concession Card?
  • Pensioner Card Expiry Date*
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  • Does Parent / Guardian 2 hold a Veterans Affairs Card?
  • Department of Veterans Affairs Expiry Date*
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  • 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)?*
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  • Is your child currently attending the 3-year-old program at St John’s Kindergarten?*
  • Do you have children that have previously attended St Johns Kindergarten Croydon?*

  • 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?*
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  • Additional Information about your child

  • 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)

  • Is this child Aboriginal or Torres Strait Islander?*
  • Does your child hold a Commonwealth or Disability Health Care Card?*
  • Health Care expiry date*
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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?
  • Is this child or family at risk?*
  • If yes, please select from the following:*
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  • Children with Additional Needs

  • Does your child have any additional 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?*

  • Kindergarten Preferences

  • Current Date
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