Application Form - Gardiner

Gardiner Preschool Application Form
If you would like to place your child on the waitlist at Gardiner Preschool please complete the following form. Please Note: we will accept applications anytime in the year your child turns two. At the end you will be asked to pay a non refundable $30 waitlist fee via credit card.

To register for our 3YO program, your child needs to have turned 3 by April 30th in the year of attendance.
Deferral Form

Yes
Child's Name*

First NameLast Name
Gender*

MaleFemaleUnspecified
Child's Date of Birth*

DayMonthYear
Parent / Guardian 1*

First NameLast Name
Relationship to the child*
Address*

Street Address

Street Address Line 2

CityState

Post Code
Phone Number*
Email*
Please Note: You will be notified of all correspondence via email
Parent / Guardian 2*

First NameLast Name
Relationship to the child*
Address*

Street Address

Street Address Line 2

CityState

Post Code
Phone Number*
Email*
Please Note: You will be notified of all correspondence via email
Language/s spoken at home:
What year would you like your child to commence at Gardiner Preschool? *
What program type is this application relevant to? *
Do you have children that have previously attended Gardiner Preschool?*

YesNo
Names of your other children that have attended Gardiner Kindergarten
Has your child previously been in care (eg Childcare, kinder)?*

YesNo
Name / Type of care previously attended*
How did you hear about us?

Online SearchSocial MediaCentre SignageSibling/Existing FamilyWord of MouthOther
Enrolment & Immunisations
The Government’s No Jab No Play laws require all children to be age-appropriately immunised before enrolment can be confirmed. Further information on immunisation requirements for enrolment in early childhood services is available on the State Government's Better Health Channel at www.betterhealth.vic.gov.au/campaigns/no-jab-no-play
Are your child's immunisation up to date?*

YesNo
Kinder Fee Subsidy
DET provides a fee subsidy for eligible families. Please indicate if you are eligible for one of the following concessions, or meet one of the following criteria:

Health Care CardPensioner Concession CardDVA Gold CardBridging Visas A – FTemporary Protection/Humanitarian Visas 447, 451, 785 or 786Resolution of Status Visa (RoS) Visa Class CD, Subclass 851Refugee and Special Humanitarian Visas 200–217Triplets or QuadrupletsAboriginal or Torres Strait Islander
Supporting documentation will need to be sighted on commencement at Gardiner Kindergarten by the Enrolments Officer.

Please note: The eligibility of concessions may vary from time-to-time. Up-to-date information can be found at: www.education.vic.gov.au/childhood/parents/support/Pages/financialassist.aspx
Waitlist Fee

A $30 non-refundable waitlist fee is payable for all applications. Please click "Next" below to proceed to the payment page.
Already Paid?

Yes
form_name
payment_payrix
Payment Name
payment_1_item
Amount
Payment Type
Submission Date

DayMonthYear
Date
Time

:HourMinutesAM/PM Option
Unique Submission
Unique?
Should be Empty:

Gardiner Preschool Application Form

Enrolment & Immunisations

Kinder Fee Subsidy

Waitlist Fee