• Program Request Form

  • DELETE THESE NOTES BEFORE PUBLISHING THIS FORM

    • Webhook to be added in settings - Intergrations: https://cloud.enrolnow.com.au/new_jotform/jotform_program_request.php
    • Add Logo to form
    • Update Program Names and Details in all tables and dropdown lists
    • Hide excess dropdown lists (eg. If service only operates 2 programs for a given program type, hide pref 3)
    • Update all [] visible on this form
    • Add default value for Payment_1_amount field
    • Update the days on offer in all "Which days do you wish to access [extra care]?" fields
  • Program Preferences

    Please indicate your kinder group preferences below.
    • 4YO Kindergarten - Even Year 
    • 4 Year Old Kindergarten Programs

      Group Day Time
      Red Wednesday 8:30am - 1:30pm
      Purple Thursday 9:30am - 2:30pm
      Green Friday 9:30am - 2:30pm
    • 3YO Kindergarten - Even Year 
    • 3 Year Old Kindergarten Programs

      Group Day Time
      Yellow Wednesday 8:30am - 1:30pm
      Blue Thursday 9:30am - 2:30pm
    • 4YO Kindergarten - Odd Year 
    • 4 Year Old Kindergarten Programs

      Group Day Time
      Red

      Wednesday

      9:30am - 1:30pm
      Purple

      Thursday

      Friday

      9:30am - 12:30pm

      9:00am - 2:00pm

      Green

      Friday

      9:30am - 2:30pm
       
    • 3YO Kindergarten - Odd Year 
    • 3 Year Old Kindergarten Programs

      Group Day Time
      Yellow Wednesday 9:30am - 1:30pm
      Blue Thursday 9:30am - 2:30pm
       
    • Collapse Stopper 
    • Immunisation

    • Note: 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. 

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

    • Kinder Fee Subsidy

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    •  - -
    • Children with Additional Needs

    • Deposit

    • BSB: 

      Account Number: 

      Account Name: 

      Payee Description: Child’s name

    •  - -
    •  - -
    • Should be Empty: