Merri-bek City Council

Merri-bek City Council

Registration for Early Years Services (Long Day Care, Family Day Care, 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 kindergarten or early years services 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 say Early Years Office/Officer by email earlyyearsregistrations@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 kindergarten or early years services 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.
Yes, I give permissionNo
*You cannot continue with the child's registration. Please contact the Council's Kindergarten Registration Office for further information*
What type of Early Years service do you wish to access for your child?*
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.
What year would you like your child to commence kindergarten? *
What program type is this application relevant to?*
Child's Details
Child's Name*

First NameLast Name
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.
Proof of Age (Please upload a Birth Certificate, Passport, Immunisation History Statement or Immigration document)

Browse Files

Cancelof
MaleFemaleOther
Both parentsParent / Guardian 1Parent / Guardian 2Formal Kinship CareFoster CarePermanent CareResidential CareInformal Kinship Care
Language spoken at home:
YesNo
Parent/ Guardian Details

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

First NameLast Name (Please enter in capital letters)
Relationship to the child*
Address*
Mobile Number*
Email*
Please Note: You will be notified of all correspondence via email
- Please select the reason Parent / Guardian 1 requires care for this child:*
- YesNo
- Health Care Number*
- Health Care Expiry Date*
  
  DayMonthYear
- Please attach a copy of your Health Care card*
  
  Browse Files
  
  Cancelof
- 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 provide further details*
  
  0/230
- Please attach a copy of the assessment or letter*
  
  Browse Files
  
  Cancelof
- YesNo
- Parent / Guardian 2*
  
  First NameLast Name (Please enter in capital letters)
- Relationship to the child*
- Parent / Guardian 2 Residential Address*
- Mobile Number*
- Email*
  Please Note: You will be notified of all correspondence via email
- Please select the reason Parent / Guardian 2 requires care for this child:*
- YesNo
- Health Care Number*
- Health Care Expiry Date*
  
  DayMonthYear
- Please attach a copy of your Health Care card*
  
  Browse Files
  
  Cancelof
- 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 provide further details*
  
  0/230
- Please attach a copy of the assessment or letter*
  
  Browse Files
  
  Cancelof
- YesNo
- 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
- Upload file here:*
  
  Browse Files
  
  Cancelof
- 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.
- Address:
- Date of move:
  
  DayMonthYear
  Date
- I work in Merri-bek (Please provide proof from your employer)I study in Merri-bek (Please provide proof from your educator)I have a child that attends Maternal Child Health Service in Merri-bekI am a non-resident and have no connection Merri-bek
- I will arrive in Melbourne (Merri-Bek):
  Note: Once you arrive in Merri-Bek, please contact our office.
- Upload file here:*
  
  Browse Files
  Fee invoices or letter of proof from relevant institution Cancelof
- 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 placement and access to additional hours for ESK (Early Start Kindergarten) and priority cohort children.
- NoTorres Strait IslanderAboriginalBoth Aboriginal and Torres Strait Islander
- YesNo
- Health Care Number*
- Health Care expiry date*
  
  DayMonthYear
- Please attach a copy of the Health Care card*
  
  Browse Files
  
  Cancelof
- YesNo
- Please attach a copy of the document to this application:
  
  Browse Files
  
  Cancelof
- YesNo
- Refugee visa (subclass 200)In-country Special Humanitarian visa (subclass 201)Global Special Humanitarian visa (subclass 202)Emergency Rescue visa (subclass 203)Woman at risk visa (subclass 204)Humanitarian Stay visa (subclass 449)Temporary Humanitarian Concern visa (subclass 786)Temporary Protection visa (subclass 785)Safe Haven Enterprise visa (subclass 790)Protection visa (subclass 866)Bridging visa A-E for humanitarian or refugee visaResolution of Status visa (subclass 851)Current or expired ImmiCard
- Please attach a copy of your Department of Visa*
  
  Browse Files
  
  Cancelof
- YesNo
- If yes, please specify:*
- Please include a support letter from a medical doctor or specialist. If your child is accessing NDIS, please include a copy of the support plan.
  
  Browse Files
  
  Cancelof
- You are encouraged to discuss your child's needs with the educator when your child's place is confirmed.
- YesNo
- Name of support service / agency:
- YesNo
- YesNo
- Name of Sibling who attended:
- Kindergarten Name:
- Sibling Details
- 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.
- YesNo
- *Kindergarten Registration Officer will contact you to discuss this process*
- Early Years Services Preferences
- What Children's Service would you like your child to attend?
  
  You can select up to 3 preferences. Please only select services that you are willing to accept a place at.
- Preference One*
- Preference Two
- Preference Three
- Preference One*
- Preference Two
- Preference Three
- LDC Preference 1 Mapped
- Pref 1 Text Dupe Check
- LDC Preferences 2 Mapped and Dupe Check
- LDC Preferences 3 Mapped and Dupe Check
- Please select a unique centre for each preference.
- When would you like this child to commence care?*
  
  DayMonthYear
- How many days of care do you require?*
- MondayTuesdayWednesdayThursdayFriday
- Calculate days
- Please select at least {Child_Custom_1_numeric} days
- YesNo
- Additional Comments
- Please enter any comments on flexibility:
  
  0/255
- 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.
- First Name* Last Name* Signature*
- Send Notification?*
form_name
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programType
token
Yes
Yes
Yes
Yes
Yes
Cutoff date calculator
Cutoff Date

DayMonthYear
Date
Age as at cutoff
ineligible to apply
Should be Empty:

PRIVACY AND SHARING OF INFORMATION

Child's Details

Parent/ Guardian Details

Priority of Access - Additional Information

Early Years Services Preferences

Additional Comments

Declaration