Kindergartens in Mitchell Shire

Three and four year old early education

Kindergarten Application Form

Before you begin the application process:

  • This application form is for future enrolments. If you wish to apply for the current year please contact Children’s Services Team on 03 5734 6200 as limited places may be available.
  • All applications require a copy of your child’s birth certificate. Clear photographs (< 5Mb) taken from a smart phone or tablet are acceptable. Please call the Children’s Services Team on 03 5734 6200 for any queries you have relating to kindergarten or completing this form.
  • Your data will be deleted from the website system once it is reconciled by our staff. For more information on how your data will be handled, visit our Privacy Policy page.
  • You will receive a confirmation email at the end of the form process. Please make sure you receive this email prior to re-submitting the form with any changes or updates.
  • If we receive more than one submission from you, the final submission will be the accepted application for each child.

Required fields are marked: This is a required field.

    Child Details
    1. Gender This is a required field.
      Gender This is a required field.
    2. Please provide a copy of your child's birth certificate. Upload a file here. Acceptable formats are JPG, PNG, PDF or MS Word. File size limit 5 Mb.
    3. Interpreter required for parent This is a required field.
      Interpreter required for parent This is a required field.
    Parent Details / Guardian 1
    1. Gender This is a required field.
      Gender This is a required field.
    2. After this form is submitted, a confirmation email will be sent to this email address.
    3. Contact Phone
      This is a required field. Please add at least one contact number for Parent 1.
    4. Home Address
    5. Postal Address
      If different from home address.
    Parent Details / Guardian 2
    1. Gender
      Gender
    2. Contact Phone
    3. Home Address
    Emergency Contact
    An alternative emergency contact other than Parent/Guardian 1 and 2 must be provided. At the time of attending kindergarten emergency contacts must also be supplied to the kindergarten educators.
    1. Gender This is a required field.
      Gender This is a required field.
    2. Contact Phone
      This is a required field. Please add at least one contact number for your Emergency Contact.
    3. Contact Address
    Permissions
    1. During outside play can your child have sunscreen applied by staff? This is a required field.
      During outside play can your child have sunscreen applied by staff? This is a required field.
    2. Permission for photos to appear in newspapers, video or other publications? This is a required field.
      Permission for photos to appear in newspapers, video or other publications? This is a required field.
    Additional Needs
    1. Does your child have any Allergies, Medical, Physical, Additional or Developmental needs? This is a required field.
      Does your child have any Allergies, Medical, Physical, Additional or Developmental needs? This is a required field.
    2. PDF, MS Word, text files or JPG/PNG photos accepted. 5 Mb file size limit.
    Kindergarten Preference

    Children are eligible to attend 4 year old kindergarten in the year prior to which they are eligible to attend primary school. Therefore children must have attained the age of four years on or before the 30th April in the year they attend 4yo kindergarten.

    3 year old kindergarten is offered at Pyalong, Wandong, Broadford and Flowerdale. Your child must turn three by 30th April in the year of attendance. Children turning three in February, March and April cannot commence until they are three and first term fees need to be paid in full to ensure a place in the group.

    Application Details
    1. Is this the second year of funded 4YO kindergarten for your child? This is a required field.
      Is this the second year of funded 4YO kindergarten for your child? This is a required field.
    2. Are there any siblings applying in the same year as this child? This is a required field.
      Are there any siblings applying in the same year as this child? This is a required field.
    3. Please enter name(s) and ensure you complete a separate application for each child.
    4. Is the child currently in an Out of Home Care arrangement including kinship care? This is a required field.
      Is the child currently in an Out of Home Care arrangement including kinship care? This is a required field.
    5. Does your family hold any of the following cards?
      Please check all that apply. Note that proof/further will be required when an offer of placement is presented.
      Does your family hold any of the following cards?
    6. Does the child have refugee or asylum seeker status? This is a required field.
      Does the child have refugee or asylum seeker status? This is a required field.
    Authorisation and Declaration

    By submitting this application the parent/guardian agrees and understands:

    • I declare that all of the information provided on this application is true and correct.
    • I have reviewed the preferences nominated for my child's application and understand it is my responsibility to contact council if these preferences change. I further acknowledge where incorrect information has been supplied on the application form (e.g. date of birth, selecting wrong kindergarten program) offers for places may be retracted.
    • I understand that kindergarten fees are compulsory and if unpaid my child’s enrolment will be forfeited. Any unpaid fees will be referred to a debt collection agency and may lead to court proceedings and additional legal fees. Subsidies are available for concession card holders.
    • In the event of an emergency or my child being unwell, I must collect or make arrangements for the collection of my child as directed by the kindergarten educators.
    • This is an application form, not a guarantee of placement. Offers for kindergarten places will be made in the September prior to the application year.
    1. Acknowledgement This is a required field.
      Acknowledgement This is a required field.
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