Maribyrnong City Council - Integrated Registration Form

Central Registration for Participating Kindergartens

Registration for Sessional Kindergarten
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To update or make any changes to an existing kindergarten registration, please contact the Kindergarten Registration Team on 9688 0116 or via email at kindergarten@maribyrnong.vic.gov.au. PLEASE DO NOT COMPLETE A NEW REGISTRATION.

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.

If your child is too young to register, an Expression of Interest can be completed here.
Kindergarten Preferences

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 year would you like your child to commence kindergarten? *
Mapped Care Period*
What program type is this application relevant to?*
You will be able to nominate your preferred kindergartens and groups once you click Next at the bottom of page.

When nominating groups, please ensure you are willing to accept a place in any group you select, regardless of preference order. Once an offer is accepted, group selections are generally final.
Child's Details
Child's Name*

First NameLast Name
MaleFemaleUnspecified
Child's Date of Birth*

DayMonthYear
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. Please refer to our Registering for Council kindergarten web page.
Please attach confirmation of your child’s date of birth*

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Child's Residential Address*
Both parentsParent / Guardian 1Parent / Guardian 2Formal Kinship CareFoster CarePermanent CareResidential CareInformal Kinship Care
Primary language spoken at home*
Parent / Guardian Details

(Please be advised, all correspondence will be sent to Parent / Guardian 1)
Parent / Guardian 1*

First NameLast Name
Relationship to the child*
Parent / Guardian 1 Residential Address*
Phone Number*
Mobile preferred
Email*
Please Note: You will be notified of all correspondence via email
Parent Country of Birth*
YesNo
What language?*
YesNo
Health Care Number*
Health Care Expiry Date*

DayMonthYear
Please attach a copy of your Health Care card*

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YesNo
Pensioner Number*
Pensioner Card Expiry Date*

DayMonthYear
Please attach a copy of your Pensioner Concession card*

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YesNo
Department of Veterans Affairs Card Number*
Department of Veterans Affairs Card Expiry Date*

DayMonthYear
Please attach a copy of your Department of Veterans Affairs card*

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YesNo
Please attach a copy of the assessment or letter*

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YesNo
Please provide further details*

0/230
Please attach a copy of the assessment or letter*

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YesNo
Please note, where there are contact details for Parent / Guardian 2, they have the same authority to make changes to this registration as Parent / Guardian 1.
Parent / Guardian 2*

First NameLast Name
Relationship to the child*
Parent / Guardian 2 Residential Address*
Phone Number*
Mobile preferred
Email*
Parent Country of Birth*
YesNo
What language?*
YesNo
Health Care Number*
Health Care Expiry Date*

DayMonthYear
Please attach a copy of your Health Care card*

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YesNo
Pensioner Number*
Pensioner Card Expiry Date*

DayMonthYear
Please attach a copy of your Pensioner Concession card*

Browse Files

Cancelof
YesNo
Department of Veterans Affairs Number*
Department of Veterans Affairs Expiry Date*

DayMonthYear
Please attach a copy of your Department of Veterans Affairs card*

Browse Files

Cancelof
YesNo
Please attach a copy of the assessment or letter*

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Cancelof
YesNo
Please provide further details*

0/230
Please attach a copy of the assessment or letter*

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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 determine the priority of access for a kindergarten placement.
NoTorres Strait IslanderAboriginalBoth Aboriginal and Torres Strait Islander
If you answered yes to the above question, an Early Years Team Member may be in contact with you, as your child may be eligible for Early Start Kindergarten.
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)Humanitarian Stay visa (subclass 449)Temporary Protection visa (subclass 785)Safe Haven Enterprise visa (subclass 790)A Bridging visa, and is in the process of applying for one of the aboveResolution of Status visa (subclass 851)Current or expired ImmiCard
Visa Output
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)Humanitarian Stay visa (subclass 449)Temporary Protection visa (subclass 785)Safe Haven Enterprise visa (subclass 790)Bridging visa A-E for humanitarian or refugee visaResolution of Status visa (subclass 851)Current or expired ImmiCard
Please upload supporting documentation of your visa for you or your child*

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If you answered yes to the above question, an Early Years Team Member may be in contact with you, as your child may be eligible for Early Start Kindergarten.
YesNo
YesNo
YesNo
Health Care Number*
Health Care expiry date*

DayMonthYear
Please attach a copy of your Health Care card*

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YesNo
YesNo
YesNo
- YesNo
- YesNo
- YesNo
- YesNo
- Child ProtectionChild and family servicesMaternal and Child Health nurse (MCH)Out of Home Care providerNone of the Above
- Please provide contact details of the agency referring the child/family*
- YesNo
- Child At Risk Category Output
- Experiencing family violence or 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 or Child and Family services or MCH nurse or Out of Home Care provider
- If you answered yes to the above question, an Early Years Team Member may be in contact with you, as your child may be eligible for Early Start Kindergarten.
- YesNo
- Eligible or assessed for disability support under the NDISEligible for ECIS Continuity of SupportDiagnosed with disability or delay or undergoing diagnosisHas developmental concerns creating barriers to kindergarten entryHas complex medical needs creating barriers to kindergarten entryHolds Disability Health Care CardPreviously accessed kindergarten or similar inclusion supportReferred by NDIS/ECIS/PSFO or MCH Nurse
- If you answered yes to the above question, an Early Years Team Member may be in contact with you.
- YesNo
- Enhanced Maternal Child Health NurseNDIS (National Disability Insurance Scheme)Child Protection (DFFH) WorkerEarly Intervention WorkerPreschool Field Officer
- Please upload supporting documentation for Additional Needs*
  
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- Angliss Children's CentreBrenbeal Children's CentreChurch St children's CentreGowrie Clare CourtSparkways Billy Button Early LearningNone of the above
- YesNo
- Please note: Families are required to provide proof of child’s immunisation status at enrolment for kindergarten.
- P1 eligible?
- P2 eligible?
- input_PPPC
- Pre Prep Priority Cohort
- Residency
- YesNo
- Please upload proof of address or a copy of the most current rates notice (within last 6 months):*
  
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  Max 10MB total file size Cancelof
- YesNo
- What is the proposed residential address?*
- Please upload either a signed lease agreement or contract of sale:*
  
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  Max 10MB total file size Cancelof
- Please note: If you do not have proof of a proposed residential address please complete your kindergarten registration as a non-resident. Once you have a proposed residential address please contact our kindergarten enrolment team.
- Authorisation and Declaration
- By submitting this registration form, I understand and agree to the following:
  - All information provided by me is true and correct
  - All information provided by me may be audited at any time. This registration or subsequent kindergarten allocation could be reallocated or withdrawn if the information is incorrect
  - Failure to provide complete and correct information may result in the registration being excluded from the allocation process
  - This is a registration form and does not guarantee a three or four-year-old kindergarten placement
  - Three and four-year-old kindergarten places are allocated separately. Every effort will be made to place my child at the same service for four-year-old kindergarten. However, there is no guarantee of this.
- Collection Notice
  
  Maribyrnong City Council (Council) is committed to protecting your privacy. The personal information requested on this form is being collected by Council for the purpose of kindergarten registration and improving early years services in Maribyrnong. The personal information collected will be used by Council for that primary purpose or directly related purposes. The personal information will be disclosed to Kindergartens that are partners to the Central Registration and Enrolment Scheme (CRES) for the purpose of kindergarten enrolment.
  
  Personal information collected will not be disclosed to any third party without your consent, unless permitted or required by law. Council may not be able to assist/provide a service, if the personal information is not collected.
- Program Preferences
  
  The program preferences listed on the next page are based on your responses. If the preferences do not suit your family’s needs, please contact the Maribyrnong Central Registration Team on 9688 0116
- Send Notification?
Yes
Yes
Today's Date

DayMonthYear
Date
Cutoff date calculator
Cutoff Date

DayMonthYear
Date
Age as at cutoff
ineligible to apply
Yes
Yes
Yes
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Offer_Response
programType Input
carePeriod_input
token
Yes
DNU_Health Care Number*
Should be Empty:

Central Registration for Participating Kindergartens

Kindergarten Preferences

Child's Details

Parent / Guardian Details

Priority of Access - Additional Information

Residency

Authorisation and Declaration