Merri-bek City Council - Sessional Kindergarten - Application Form with DE Changes

  • Merri-bek City Council

    Central Registration for Funded Kindergarten

  • PRIVACY AND SHARING OF INFORMATION

  • Please read the following information:

    Merri-bek City Council is committed to protecting your privacy in accordance with the Privacy and Data Protection Act 2014 (Vic) and the Health Records Act 2001 (Vic). The personal information requested in this application is collected by Merri-bek City Council for registering your child to attend 3-year-old or 4-year-old kindergarten and may also be used to update your personal information otherwise held by Council (for example, your contact details including email address and phone number).

    ​This personal information will only be given to the service you apply for and/or their early years manager. Information will not be given to any other external party without your consent, unless required or authorised by law. If the personal information is not provided, we cannot register your child. You can gain access to your personal information at any time. If you wish to change any information, please contact Merri-bek City Council Kindergarten Central Registration Officer by email kindergartenregistrations@merri-bek.vic.gov.au. You can also contact Merri-bek City Council’s Privacy Officer by telephone on 9240 1111 or email privacyofficer@merri-bek.vic.gov.au.

    To continue to register your child for 3-year-old kindergarten or 4-year-old kindergarten please choose Yes to the question listed below. At the end of the application process, you will be asked to complete a Declaration. Note: If you answer No to the question, Council will not be able to process your child's application.

  • ​Do you give permission for Merri-bek City Council's Kindergarten Central Registration Officer to share information about your child and family details to the service and/or early years manager you have applied for?*

  • *You cannot continue with the child's registration. Please contact the Council's Kindergarten Registration Office for further information*

  • Kindergarten eligibility

    Enter your child's date of birth in the starting age calculator to check if they are eligible for 3 or 4 year old kinder.

    Starting age calculator

    A Kindergarten Registration Application can only be completed the year before your child starts kindergarten.

  • Child's Details

  • Child's Date of Birth*
     - -

  • 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.

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  • Gender*
  • Child's Living Arrangement*
  • Interpreter required?

  • Parent/ Guardian Details

    Please be advised all correspondence will be sent 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*
     - -
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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 disability, NDIS support or a complex medical need that presents a barrier 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?*
  • 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 disability, NDIS support or a complex medical need that presents a barrier to accessing a kindergarten program (supported by a letter from a medical practitioner or specialist)?*
  • 0/230
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  • Does either parent / guardian live or pay rates in the city of Merri-bek City Council?*

  • Provide only one document listed below as proof with your application form. This document is to be dated within the past 12 months, must have your name and address details included. Note: A P.O. Box address or business name will not be accepted.

    Sample of proof of address documents that can be accepted are:

    • Rates notice
    • Utilities bill (gas/water/electricity)
    • Driver’s licence
    • Property rental lease agreement
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  • If you have recently bought a property in Merri-bek and do not have a rates notice, you can provide with your application, the Contract of Sale document (we only require the first page of this document which lists your name as the purchaser and property address details). Please let us know on the application form what date you will move to this property.

    Please Note: If you are moving to Merri-bek, please write below the address of the property and an approximate date you will move there.

  • Date of move:
     - -
  • I am a non-resident of Merri-bek and I have a connection to ONE of the following. Please attach a support document with the application.
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  • Will you be away between April and December in the year prior to attending kindergarten?*

  • If yes, please provide us with dates and your contact details whilst you are away:

  • We will be sending important emails throughout the year regarding your child’s registration. These emails may require a response from families. It is the parent’s responsibility to check emails and respond within time frames.

  • 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

  • Is your child's immunisation up to date?*

  • You will need to give to the kindergarten or their early years manager a copy of your child’s up to date Immunisation History Statement.

  • Priority of Access - 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 ESK (Early Start Kindergarten) and priority cohort children.

  • 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 your child the subject of a Custody Order, Parental Order or Intervention order?*
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  • Is this child a multiple birth (triplet or quadruplet or more?)*
  • Do you or your child have, or are applying for one of the following visas?
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  • Does your child have a medical condition, an additional need or is currently undergoing assessment for an additional need?*
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  • 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?*
  • Is this child or family known to child protection?*
  • If yes, please select from the following:
  • Does your child have an older sibling that attended a Merri-bek sessional kindergarten in the last 3 years, which will be your first preference?*

  • Children enrolled in a funded kindergarten program are eligible to access an additional year of funded 3-or 4-year-old kindergarten, only if the Early Childhood Teacher has assessed your child to be eligible and the additional year of funding approval has been given by the Department of Education.

  • Is your child applying for a additional year of funded {servicevicepreference_program-type}*

  • *Kindergarten Registration Officer will contact you to discuss this process*

  • Kindergarten Preferences

  • Use the map below, which displays all the kindergartens as a green pin, to help you find a service location that meets your needs.

    Enter the Year, Program Type (3 or 4-year-old), and your address.
    Your address will appear on the map as a blue home icon   so you can see where the closest kindergartens to your home are. Click on any of the green pins to display that service’s information.

  • You can select up to 3 kindergarten preferences. Please only select kindergartens that you are willing to accept a place at.

  •  Please select a unique centre for each preference. 

  • Additional Comments

  • Declaration

  • Merri-bek City Council requires this Declaration to be completed by the parent/guardian who completed this application. We can only discuss information about this child with the people named in this application.

    I declare that the information provided in this application is true and correct to the best of my knowledge.

    I understand that this form is a legal document and penalties exist for providing false or misleading information.

  • *   *           *   

  • Cutoff Date
     - -
  • DNU Did your child attend their first preference service in {calculation}?
  • Should be Empty: