LMPA - Integrated Registration Form

  • Loddon Mallee Preschool Association

    Central Enrolments for Funded Kindergarten
  • Deferral Form

  • Child's Details

  • Gender*
  • Child's Date of Birth*
     - -
  • Browse Files
    Cancelof
  • Child's Living Arrangement*

  • Parent's Details

  • Does Parent / Guardian 1 require an interpreter?*
  • 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?*
  • Browse Files
    Cancelof
  • 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

  • Kindergarten Funding Questions

    Please note: the collection of this information is a requirement of the Victorian Government as part of the Early Childhood Reform Plan.

    Occupation Group: More details

    Please select the appropriate parental occupation group from the drop down menu. For more comprehensive details please refer here.

    • If the person is not currently in paid work but has had a job in the last 12 months, or has retired in the last 12 months, please use their last occupation to select from the occupation groups
    • If the person has not been in paid work for the last 12 months, select "N" 
  • Would you like to add a second parent / guardian?*
  • Parent / Guardian 2 Address*
  • 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?*
  • Browse Files
    Cancelof
  • 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

  • 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 access priority of access for a kindergarten placement and access to additional hours for priority cohorts (as defined by the Department of Education)

  • Is this child Aboriginal or Torres Strait Islander?*
  • Do you or your child hold or have previously held one of the following visas/cards? (This includes if you now hold Australian Citizenship or Permanent Residency)
  • Browse Files
    Cancelof
  • Does your child hold a Commonwealth or Disability Health Care Card?*
  • Health Care expiry date*
     - -
  • Browse Files
    Cancelof

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

  • Is this child a multiple birth (triplet or quadruplet or more)?*
  • Does your child have any additional needs*
  • If yes, please select which of the following applies*
  • Browse Files
    Cancelof
  • Is your child registered with a specific Support service / agency?*

  • If any of the below apply to you, your child, or your family, you may be eligible for additional support to access kindergarten:

    • Known to or having ever had contact with Child Protection
    • Experiencing family violence
    • Have ever had contact with The Orange Door
    • Previously accessed Flexible Support Packages
    • Referred by a Maternal & Child Health Nurse
    • Referred by child and family services

  • Do any of the above apply to you, your child, or your family?*
  • If yes, please select from 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

  • Prior Connection

  • Does your child have a sibling attending your first service preference this year and will be attending the same service next year?*
  • Does your child have a prior connection to your first preference by the way of sibling in the past 3 years?*

  • Immunisation

  • Has your child been immunised and is the schedule up to date? *
  • My child has had all their 4 Year Old Immunisations as per the attached immunisation statement.*
  • What date is your child due for their next immunisation?*
     - -
  • Browse Files
    Cancelof
  • Please select one of the following*
  • Browse Files
    Cancelof
  • Browse Files
    Cancelof

  • Under the ‘No Jab, No Play’ legislation, before enrolling a child, early childhood education and care services have to first obtain evidence that the child is up to date with all vaccinations that are due for their age, or that they are able to receive.

    An Immunisation History Statement from the Australian Immunisation Register (AIR) is the only form of documentation accepted for the purpose of enrolling in an early childhood education and care service.

    After enrolment, parents will need to continue to provide up to date Immunisation History Statements to their child’s early childhood service, if their status changes.  

    You can get your immunisation history statement straight away by accessing your medicare online account via my.gov.au

    You can also call the AIR enquiries line (1800 653 809) and ask them to send your immunisation history statement to you. It can take up to 14 days to arrive in the post.

    Please note: Only Immunisation History Statements from the Australian Immunisation Register will be accepted as evidence of immunisation.

  • Kindergarten Preferences

    Funded sessional kindergarten registrations are prioritised based on the Victorian State Government's Kindergarten Guidelines, the child's prior connection and by the age of the child (oldest to youngest) to the service of their first preference

  • You will be able to select your preferred kindergartens and groups once you click "Next" at the bottom of this page.

    Please select a minimum of 5 preferences and a maximum of 9 preferences.

    Preferences can be listed across one service or multiple services.

    Please note: Once "Next" is selected, your information will be saved and you will not be able to return to this page. Please check your information is correct.

  • You will be able to select your preferred kindergartens and groups once you click "Next" at the bottom of this page.

    Please select a minimum of 2 and a maximum of 9 preferences.

    Preferences can be listed across one service or multiple services.

    Please note: Once "Next" is selected, your information will be saved and you will not be able to return to this page. Please check your information is correct.

  • You will be able to select your preferred kindergartens and groups once you click "Next" at the bottom of this page.

    Please select a minimum of 1 and a maximum of 9 preferences.

    Preferences can be listed across one service or multiple services.

    Please note: Once "Next" is selected, your information will be saved and you will not be able to return to this page. Please check your information is correct.

  • Additional options  (please select one):*
  • TY - Alternate Kindergarten Considered
  • Additional options  (please select one):*
  • NY - Alternate Kindergarten Considered

  • Authorisation and Declaration

  • Privacy and Confidentiality statement

    The personal information requested in this application is collected by the Kindergarten Central Registration and Enrolment System (CRES) to facilitate central enrolment and placement in early childhood education and care services within the region. This information will be used by CRES for this main purpose and other related activities, such as supporting children's transition to kindergarten and fee invoicing where applicable. All data will be kept confidential. CRES may share this information with relevant government bodies, council organisations, maternal child health, kindergarten managers and educators, and early years services to support the enrolment process and funding. Additionally, information about a child’s medical and additional needs will assist in their transition to kindergarten. The gathered information may also be used to ensure the fair distribution of available places across all kindergarten programs.

  • I declare that the information provided in this application is true and correct and I give my permission for CRES to share this information with those listed above.

  • Current Date
     - -
  • DNU_Does your child have a prior connection to your 1st preference by the way of sibling in the past 3 years or attended 3 Year Old Kindergarten in the year prior?*
  • 0/255
    • iRF Parameter Overrides 
    • End Collapse 
    • Should be Empty: