application form

Preschool Application Form

Please complete this application to register your child on our central enrolment system. One application form per child. Complete the online form or download the PDF and send it along with $25 Preschool Application Fee. This fee covers the cost of processing your application and is non-refundable. The Preschool Application Fee covers the cost of processing your application and is non-refundable. Our preferred payment methods are by direct deposit to Yarra Ranges Kindergartens Inc. detail below.

PAYMENT

Direct Deposit to: Yarra Ranges Kindergartens Inc.
Bendigo Bank BSB 633 000 Acc. 146 421 953
with ‘PAF’ + Parent/Guardian name as reference (eg: PAFSmith)

Visa & Mastercard

We will notify you when we have recorded your application on the waiting list. Incomplete information may result in delayed processing.

Mail: Yarra Ranges Kindergartens Inc.
Mail: PO Box 416 Mooroolbark 3138
Phone: 03 9726 0439
E-mail: enrol@yrkinders.com

Please be sure to complete all Information required as incomplete applications are returned and cannot be processed until complete

DOWNLOAD PDF APPLICATION FORM

ONLINE Application Form

PLEASE COMPLETE A SEPARATE APPLICATION PER CHILD

I wish my child to attend (select one answer):

3/4 year old preschool

4/5 year old preschool

BOTH

3/4 year old preschool in:

4/5 year old preschool in:

Please select your preferred preschool first then your second, third and forth preferences in order form the drop down lists. We will always offer first choice places if possible. Where vacancies do not exist, a place at the next closest centre may be offered.

Location First Preference Select One

Location Second Preference Select One

Location Third Preference Select One

CHILD'S DETAILS:

Child's First Name:

Child's Legal Surname

Name Child is called (e.g. abbreviation or nickname)

Child's Gender

MALE

FEMALE

OTHER

Child's Date of Birth

Child's Country of Birth

ENROLLING PARENT/GUARDIAN* DETAILS:

Guardian's First Name

Guardian's Surname

Guardian's Relationship to the child

Guardian's Contact Phone

Guardian's Country of Birth

Secondary Contact Name (optional)

Secondary Contact Phone (optional)

Home Address

Suburb

Postcode

Postal Address (if different to above) (optional)

Suburb (optional)

Postcode (optional)

Main Language Spoken at Home (if not English): (optional)

IMMUNISATION

As per “No Jab No Play” regulations, children must be fully immunised or hold an authorised medical exemption before enrolment can be confirmed. Maternal and Child Health books are no longer acceptable proof of immunisation status.

My child is up to date with his/her childhood vaccinations (please choose 1 option):

YES - Immunisation History Statement from Australian Immunisation Register attached below. Please note that Maternal Child & Health book pages are no longer considered acceptable proof of Immunisation Status.

NO - Evidence of commencement of an authorised catch-up program attached below

NO - Copy of doctor’s letter of exemption attached below

Please Attach HERE Immunisation History Statement from Australian Immunisation Register OR Evidence of commencement of an authorised catch-up program OR Copy of doctor’s letter of exemption

2MB file size limit - no more than 5 attachments

Choose file

Uploading… (0%)

Browse

Oops. This file type isn’t allowed.

This file size is too big.

0/5 Files uploaded

ADDITIONAL DETAILS

Is this child of Aboriginal/Torres Strait Islander descent?

YES

Is this child known to Child First, Child Protection or Integrated Family Services?

YES

Including in Out-of-Home or Kinship Care?

YES

Has this child previously received Early Start Kindergarten ESK or Access to Early Learning AEL funding?

YES

Has this child been diagnosed as at risk of anaphylaxis?

YES

Does this child have a developmental delay, medical condition or disability?

YES

Please give details:

CONCESSION CARD HOLDERS

Does the child individually or parent/guardian hold a valid concession card

YES - Copy Attached Below

YES - Copy not attached TO BE SUPPLIED

This includes Health Care Card, Pension Card, and Veteran Affairs Card, Asylum Seeker or Refugee Visa.

Please attach Copy of Eligible Health Care OR Pensioner Concession Card OR Special Entry Visa (optional)

Choose file

Uploading… (0%)

Browse

Oops. This file type isn’t allowed.

This file size is too big.

0/5 Files uploaded

PAYMENT DETAILS

BSB: 633-000
Account Number: 1464 21953
Account Name: Yarra Ranges Kindergartens Inc.
Reference: Parent Surname

PARENTAL EDUCATION AND OCCUPATION DETAILS

The following information is used by the Department of Education and Training to assist in the allocation of funds towards school readiness programs and additional support for children. This information helps the department to decide how much additional funding each kindergarten should receive. It is compulsory for you to complete this information. All responses are treated anonymously.

ADULT A Primary carer

EDUCATION

What is the highest year of primary or secondary school the parent/guardian has completed?

What is the level of the highest qualification the parent/guardian has completed?

OCCUPATION

What is the occupation GROUP of the parent/guardian?
Please select the appropriate group from the list below (A, B, C or D). If the person has not been in paid work for the last 12 months, select N. If the person is not currently in paid work but has had a job in the last 12 months, please use their last occupation.

What is the occupation GROUP of the parent/guardian?

ADULT B (leave blank if NA)

EDUCATION

What is the highest year of primary or secondary school the parent/guardian has completed? (optional)

What is the level of the highest qualification the parent/guardian has completed? (optional)

OCCUPATION

What is the occupation GROUP of the parent/guardian? (optional)

OCCUPATION CATEGORIES (optional)

DECLARATION

Legal

As the Parent/Guardian* named above, I am authorised to apply to enrol this child and do so in accordance with the official policies of Yarra Ranges Kindergartens Inc. This information provided is true and correct. I understand that no guarantee is given when applying for a place at a preschool.

NAME

Date

application form

Preschool Application Form

PAYMENT

ONLINE Application Form

Mail: PO Box 416 Mooroolbark 3138
Phone: 03 9726 0439
E-mail: info@yrkinders.com

QUICK LINKS

ACKNOWLEDGEMENT OF COUNTRY

Yarra Ranges Kindergartens Inc. © 2016 Privacy Policy | Another ADPUTTY Website

application form

Preschool Application Form

PAYMENT

ONLINE Application Form

Mail: PO Box 416 Mooroolbark 3138Phone: 03 9726 0439E-mail: info@yrkinders.com

QUICK LINKS

ACKNOWLEDGEMENT OF COUNTRY

Yarra Ranges Kindergartens Inc. © 2016 Privacy Policy | Another ADPUTTY Website

Mail: PO Box 416 Mooroolbark 3138
Phone: 03 9726 0439
E-mail: info@yrkinders.com