East Gippsland Shire Council

East Gippsland Shire Council

Central Registration for Funded Kindergarten
Deferral Form

YesNo
Flag
Eligibility
To start Three-Year-Old Kindergarten, your child must turn 3 by 30 April in the year they will attend kindergarten. Please note that most kindergartens will not allow children to attend until after their third birthday.
To start Four-Year-Old Kindergarten, your child must turn 4 by 30 April in the year they will attend kindergarten.
Families with children born between January and April can choose which year to start Three-Year-Old Kindergarten. These children can start in the same year they turn 3, or in the year they turn 4 years of age. Find out more by visiting Sending your child to kinder on the Victorian Government website.
Use starting age calculator to calculate when your child can attend kindergarten based on their date of birth.

Priority of Access
East Gippsland Shire Council follows the Department of Education's Priority of Access criteria, which ensures fair, equitable and consistent access to kindergarten places within the Shire. Further information on this can be found here: Priority of access for early childhood education | vic.gov.au.
Child's Details
Child's Name*

First NameLast Name
Gender*

MaleFemaleUnspecified
Child's Date of Birth*

DayMonthYear
Child's Residential Address*

Street Address

Street Address Line 2

SuburbState

Post Code
Child's Living Arrangement*

Both parentsParent / Guardian 1Parent / Guardian 2Formal Kinship CareFoster CarePermanent CareResidential CareInformal Kinship Care
Kindergarten Program Times

To view the kindergarten programs relevant for your child, please select the year and age your child will attend kindergarten
What year would you like your child to commence kindergarten? *
What program type is this application relevant to?*
Parent's Details
Parent / Guardian 1*

First NameLast Name
Relationship to the child*
Residential Address*

Street Address

Street Address Line 2

SuburbState

Post Code
Phone Number*
Mobile preferred
Email*
Please Note: You will be notified of all correspondence via email
Primary language spoken at home*
Does Parent / Guardian 1 require an interpreter?*

YesNo
Does Parent / Guardian 1 hold a Commonwealth Health Care Card?*

YesNo
Does Parent / Guardian 1 hold a Commonwealth Pensioner Concession Card?*

YesNo
Does Parent / Guardian 1 hold a Veterans Affairs Card?*

YesNo
Does Parent / Guardian 1 have a NDIS number or are they undergoing assessment for disability under the NDIS currently?*

YesNo
Does Parent / Guardian 1 have complex medical needs that present barriers to accessing a kindergarten program?*

YesNo
Please provide further details*

0/230
Is the family a single parent family?*

YesNo
Parent / Guardian 2*

First NameLast Name
Relationship to the child*
Parent / Guardian 2 Address*

Same as parent / guardian 1Different to parent / guardian 1
Residential Address*

Street Address

Street Address Line 2

SuburbState

Post Code
Phone Number*
Mobile preferred
Email*
Please Note: You will be notified of all correspondence via email
Does Parent / Guardian 2 hold a Commonwealth Health Care Card?*

YesNo
Does Parent / Guardian 2 hold a Commonwealth Pensioner Concession Card?*

YesNo
Does Parent / Guardian 2 hold a Veterans Affairs Card?*

YesNo
Does Parent / Guardian 2 have a NDIS number or are they undergoing assessment for disability under the NDIS currently?*

YesNo
Does Parent / Guardian 2 have complex medical needs that present barriers to accessing a kindergarten program?*

YesNo
Please provide further details*

0/230
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 assess eligibility for additional hours (as defined by the Department of Education).
Is this child Aboriginal or Torres Strait Islander?*

NoTorres Strait IslanderAboriginalBoth Aboriginal and Torres Strait Islander
Do you or your child hold a Commonwealth Health Care Card?*

YesNo
Is this child a multiple birth (triplet or quadruplet or more?)*

YesNo
Do you or your child have, or are you applying for any of the following visas?

Refugee visa (subclass 200)In-country Special Humanitarian visa (subclass 201)Global Special Humanitarian visa (subclass 202)Temporary Humanitarian Concern visa (subclass 786)Protection visa (subclass 866)Emergency Rescue visa (subclass 203)Woman at risk visa (subclass 204)Bridging visa A-E for humanitarian or refugee visaHumanitarian Stay visa (subclass 449)Temporary Protection visa (subclass 785)Safe Haven Enterprise visa (subclass 790)Current or expired ImmiCard
Please note: The eligibility of concessions may vary from time-to-time. Up-to-date information can be found here.
Does your child have any additional needs?*

YesNo
If yes, please select which of the following applies*

Child eligible or undergoing assessment for a disability under the NDISChild eligible for Early Childhood Intervention Service Continuity of SupportChild diagnosed with a disability or developmental delay or undergoing diagnosisChild with developmental concerns that presents barriers to accessing a kindergarten programChild has complex medical needs that presents barriers to accessing a kindergarten programChild holds Disability Health Care CardChild previously accessed Kindergarten or Commonwealth Inclusion Support or similar programReferred by NDIS or Early Childhood Intervention or Preschool Field Officer or MCH nurse or similar
Please provide further details of your child's additional needs*
max 255 characters
If you’re unsure what “at risk” means, please visit the Department of Education website to view the full definition.
Is this child or family at risk?*

YesNo
If yes, please select from the following:*

Experiencing family violence or has had contact with The Orange DoorKnown to or had contact with Child Protection or in Out-of-Home-CareChild or family previously accessed Flexible Support PackagesReferred by Child Protection, Child and Family services, MCH nurse, Out of Home Care provider
Is your child registered with a specific support service / agency?*

YesNo
Name of support service / agency*
max 255 characters
Is this child or family known to child protection?*

YesNo
Are there any court orders relating to the powers, duties, responsibilities or authorities of any person in relation to the child or access to the child?*

YesNo
P1 eligible?
P2 eligible?
input_PPPC
Pre Prep Priority Cohort
Second Year of Funded Kindergarten

Children enrolled in a funded kindergarten program are eligible to access a repeat year of funded 3 or 4 year old kindergarten, only if the early childhood teacher has assessed eligibility for your child to be considered for a second year.
Are you applying for a second year of funded {servicevicepreference_program-type}?*

YesNo
Prior Connection
Please indicate what your first preferenced Kindergarten will be:*
Has the child attended your preferred service in the year prior?*

YesNo
Does your child have a prior connection to your first preferenced kindergarten by the way of sibling in the past 3 years?*

YesNo
Please provide the name and year of attendance of siblings*

0/255
Please indicate if exceptional circumstances exist which mean that your first preferenced kindergarten will be required

Serious Illness of Parent or CarerTransport ChallengesNoneOther
Authorisation and Declaration
Privacy and Confidentiality statement

Protecting your privacy and your personal information is an important responsibility of Council. Our Privacy Policy and Guidelines supports and endorses the Privacy and Data Protection Act 2014, the Information Privacy Principles and national privacy regime.

East Gipsland Shire Council will only collect personal information which is necessary for performance and functions of Council. In accordance with the Privacy and Data Protection Act 2014, we will not use your personal information for a purpose other than the purpose for which it was collected or disclose your personal information to a third party, including state bodies or authorities (without your consent), except where the secondary purpose is reasonably expected, required by other regulation, or if the release is authorised by law.

East Gippsland Shire Council will share this information with your Kindergarten and CRS partners; Department of Education, Maternal Child Health and Best Start.
Already Paid?

Yes
internal_hide

Yes
Send Notification?
show_preferences_only

Yes
transfers

Yes
crm_orgid
form_name
Offer_Response
Program Type Input
token
input_pp_policy
Should be Empty:

Child's Details

Kindergarten Program Times

Parent's Details

Additional information about your child

Prior Connection

Authorisation and Declaration