[Kindergarten Name]

Working with Children Check

All volunteers that will assist with the kindergarten program will be required to provide a Working with Children Check (WWC check) prior to participating in any volunteer activities at the kindergarten. WWC checks are free for volunteers and can be obtained online at: https://www.workingwithchildren.vic.gov.au/individuals/applicants/how-to-apply

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" 

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

If you can't use Medicare online, we can print your immunisation history statement for you.

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.

Your consent is required for persons other than the parents / guardians to collect the child from the service on your behalf. These people are known as “Authorised Nominees”. An “Authorised Nominee” is a person who has been given permission by a parent / guardian to collect the child from the education and care service. Please list the details of those people who you nominate below.

In the event that your child is not collected from the service and parents / guardians cannot be contacted, an authorised nominee will be contacted to collect your child. Parents/guardians may add to or change authorised nominee details at any time.

If your child has an accident, injury, trauma or illness and parents / guardians cannot be contacted, you may want your “Authorised Nominee” to be contacted in these circumstances and be able to consent to medical treatment. In an emergency, your consent allows the service to seek treatment when necessary.

I declare that I, a person with parental responsibility of the child referred to in this enrolment form:

• Authorise the Approved Provider, Nominated Supervisor, or a teacher to seek
  • Medical treatment for the child from a registered medical practitioner, hospital or ambulance service, and
  • Transportation of the child by an ambulance service, and
  • if relevant, an authorisation given under regulation 102 for the Kindergarten to take the child on regular outings.
• Agree that I am responsible for any expenses incurred during a medical emergency in relation to the child;
• Agree to collect or make arrangements for the collection of the child if he or she becomes unwell;
• Understand that in an emergency situation or where evacuation is necessary that the child may need to leave the Kindergarten under the direction and supervision of the approved provider, nominated supervisor or teacher;
• Have read and understood the Kindergartens policies including the ‘Payment of Fees’;
• Declare that the information in this enrolment form is true and correct and undertake to immediately inform the Kindergarten in the event of any change to this information.