Warrnambool City Council - Integrated Registration Form

  • Warrnambool City Council

    Central Registration for Funded Kindergarten

  • Instructions for Completion:

    PLEASE NOTE:
    This form must be completed once you begin as it cannot be saved and resumed at a later date / time.

    Please ensure before you commence completing this registration, you have all the required documents ready for attachment.

     

    Supporting documentation you will need (where applicable) includes:

    • Child's birth certificate OR Child's Passport OR Statutory Declaration in the event that you do not have a birth certificate OR Passport.
    • Proof of residency within the Warrnambool City Council municipality in the form of:
    • A Utility Bill ie. Electricty, Gas, telephone bill issued in the last 3 months, or
    • Copy of a relevant building permit, or
    • Copy of a tenancy agreement if applicable.
    • Proof of Parent/s / Guardian/s working or studying within Warrnambool City Council municipality, but don't reside within the Warrnambool City Council municipality:
    • A letter from your employer issued within the last 3 months, stating that you are currently working within the Warrnambool City Council municipality.
    • A letter from your registered training organisation issued within the last 3 months, stating that you are currently studying within the Warrnambool City Council municipality.
    • Child's current immunisation statement from Medicare.
    • Court order/s if applicable.
    • Concession Card if applicable.
    • Letter from appropriate professional or support agency verifying your child is assessed as having additional needs, a disability or developmental delay if applicable.
    • Copy of NDIS plan if applicable.
    • Medical documentation displaying a professional diagnosis for your child if applicable.
    • Letter from a case manager or support agency verifying how your child meets high priority criteria if applicable.

    If you have any issues or need assistance with your application our Early Years Administrators will be only too happy to assist.


    Please contact us on 5559 4800 or send an email along with your contact details with a brief explanation of your issue to childandfamily@warrnambool.vic.gov.au

  • Parent's Details

  • Do any of the below apply to Parent / Guardian 1?
  • Does Parent / Guardian 1 hold a Commonwealth Health Care Card?*
  • Health Care Expiry Date*
     - -
  • Browse Files
    Cancelof
  • Does Parent / Guardian 1 hold a Commonwealth Pensioner Concession Card?*
  • Pensioner Card Expiry Date*
     - -
  • Browse Files
    Cancelof
  • Does Parent / Guardian 1 hold a Veterans Affairs Card?*
  • Department of Veterans Affairs Expiry Date*
     - -
  • Browse Files
    Cancelof
  • 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)?*
  • 0/230
  • Browse Files
    Cancelof
  • Does Parent / Guardian 1 require an interpreter?*
  • Is the family a single parent family?*
  • Would you like to add a second parent / guardian?*
  • Parent / Guardian 2 Address*
  • Do any of the below apply to Parent / Guardian 2?*
  • Does Parent / Guardian 2 hold a Commonwealth Health Care Card?*
  • Health Care Expiry Date*
     - -
  • Browse Files
    Cancelof
  • Does Parent / Guardian 2 hold a Commonwealth Pensioner Concession Card?*
  • Pensioner Card Expiry Date*
     - -
  • Browse Files
    Cancelof
  • Does Parent / Guardian 2 hold a Veterans Affairs Card?*
  • Department of Veterans Affairs Expiry Date*
     - -
  • Browse Files
    Cancelof
  • 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)?*
  • 0/230
  • Browse Files
    Cancelof

  • Child's Details

  • Gender*
  • Child's Date of Birth*
     - -
  • Browse Files
    Cancelof
  • Do you reside within the Warrnambool Local Government Area?*
  • Browse Files
    Cancelof
  • Child's Living Arrangement*
  • Browse Files
    Cancelof

  • Additional information about your child/family

  • By providing the following information, you will assist our team in supporting your family. This information will also be used to determine Priority of Access for kindergarten placement and eligibility for additional hours for priority cohorts (as defined by the Department of Education).

  • Is this child Aboriginal or Torres Strait Islander?*
  • Do any of the below apply to your child?
  • Do you or your child hold a Commonwealth or Disability Health Care Card*
  • Health Care expiry date*
     - -
  • Browse Files
    Cancelof
  • Do you or your child hold a Pensioner Concession Card
  • Pension Card Expiry Date
     - -
  • Browse Files
    Cancelof
  • Do you hold a Veterans Affairs Card?
  • Department of Veterans Affairs Expiry Date
     - -
  • Browse Files
    Cancelof
  • 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?

  • Please note: The eligibility of concessions may vary from time-to-time. Up-to-date information can be found here.

  • 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.

  • Is your child applying for a second year of funded {servicevicepreference_program-type}?
  • Does your child have any additional needs*
  • Browse Files
    Cancelof
  • Is your child registered with a specific Support service / agency?*
  • Is this child or family at risk?*
  • If yes, please select one of the following:*
  • Browse Files
    Cancelof
  • 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?*
  • Browse Files
    Cancelof
  • Is your child currently attending a Warrnambool City Council Kindergarten service in 2026?*
  • Has your child previously attended one of the following programs at the preferred kindergarten (only considered for your first preference)?*
  • Has an older sibling attended the service of your 1st preference in the last 3 years?*
  • Does the parent/s / guardian/s work or study within the Warrnambool City Council municipality, but don't reside in the Warrnambool City Council municipality?*

  • Please upload a copy of the following documents as applicable:

    • A letter from your employer issued within the last 3 months, stating that you are currently working within the Warrnambool City Council municipality.
    • A letter from your registered training organisation issues within the last 3 months, stating that you're currently studying within the Warrnambool City Council municipality.
  • Browse Files
    Cancelof

  • Authorisation and Declaration

  • This application has been submitted by the following Parent / Guardian

    As the person with lawful authority for the child referred to on this application form:

  • Clear
  • Current Date
     - -
  • Expiry Date
     - -
  • Cutoff Date
     - -
  • Should be Empty: