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

Enrolment Form

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per child (optional)

PLEASE COMPLETE A SEPARATE APPLICATION PER CHILD

Attend (optional)

I wish my child to attend (select one or both):

3/4 year old preschool in: (optional)

Year
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039

4/5 year old preschool in: (optional)

Year
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039

Number (optional)

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

Belgrave Preschool (5 Hayes Place)
Chirnside Park Preschool (1 Meadowgate Drive)
Colchester Park (Beresford Drive, Boronia)
Coldstream Preschool (12 Kelso Street)
Fernhill Preschool (9 Fernhill Road, Mount Evelyn)
Hansen Park (10 Tower St, Kilsyth)
Joy Avenue Preschool (1 Joy Ave, Mount Evelyn)
Lancaster Preschool (31-33 Lancaster Road, Mooroolbark)
Launching Place Preschool (via Mathers Ave)
Millgrove Preschool (via Moore Crescent)
Montrose Preschool (1a Leith Road, via Montrose Rd)
Mount Dandenong Preschool (1343 Mt Dandenong Tourist Rd)
Sarah Court (25 Sarah Ct, Montrose)
Sassafras (394 Mount Dandenong Tourist Rd)
Upwey (1443 Burwood Highway)
Upwey South (125 Morris Road Upwey)
Warburton Preschool (Cnr Kellys Road & Riverside Drive)
Woori Yallock Preschool (Cnr View Street & Symes Road)

Location Second Preference Select One

Belgrave Preschool (5 Hayes Place)
Chirnside Park Preschool (1 Meadowgate Drive)
Colchester Park (Beresford Drive, Boronia)
Coldstream Preschool (12 Kelso Street)
Fernhill Preschool (9 Fernhill Road, Mount Evelyn)
Hansen Park (10 Tower St, Kilsyth)
Joy Avenue Preschool (1 Joy Ave, Mount Evelyn)
Lancaster Preschool (31-33 Lancaster Road, Mooroolbark)
Launching Place Preschool (via Mathers Ave)
Millgrove Preschool (via Moore Crescent)
Montrose Preschool (1a Leith Road, via Montrose Rd)
Mount Dandenong Preschool (1343 Mt Dandenong Tourist Rd)
Sarah Court (25 Sarah Ct, Montrose)
Sassafras (394 Mount Dandenong Tourist Rd)
Upwey (1443 Burwood Highway)
Upwey South (125 Morris Road Upwey)
Warburton Preschool (Cnr Kellys Road & Riverside Drive)
Woori Yallock Preschool (Cnr View Street & Symes Road)

Location Third Preference Select One

Belgrave Preschool (5 Hayes Place)
Chirnside Park Preschool (1 Meadowgate Drive)
Colchester Park (Beresford Drive, Boronia)
Coldstream Preschool (12 Kelso Street)
Fernhill Preschool (9 Fernhill Road, Mount Evelyn)
Hansen Park (10 Tower St, Kilsyth)
Joy Avenue Preschool (1 Joy Ave, Mount Evelyn)
Lancaster Preschool (31-33 Lancaster Road, Mooroolbark)
Launching Place Preschool (via Mathers Ave)
Millgrove Preschool (via Moore Crescent)
Montrose Preschool (1a Leith Road, via Montrose Rd)
Mount Dandenong Preschool (1343 Mt Dandenong Tourist Rd)
Sarah Court (25 Sarah Ct, Montrose)
Sassafras (394 Mount Dandenong Tourist Rd)
Upwey (1443 Burwood Highway)
Upwey South (125 Morris Road Upwey)
Warburton Preschool (Cnr Kellys Road & Riverside Drive)
Woori Yallock Preschool (Cnr View Street & Symes Road)

CHILDS DETAILS (optional)

CHILD'S DETAILS:

Child's First Name:

Child's Legal Surname

Child's Gender

MALE

FEMALE

Child's Date of Birth

Month
January
February
March
April
May
June
July
August
September
October
November
December

Year
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010

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

PARENTS DETAILS (optional)

ENROLLING PARENT/GUARDIAN* DETAILS:

Guardians First Name

Guardians Surname

Guardians Relationship to the child

Guardians Contact Phone

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 (optional)

IMMUNISATION

IMMUNISATION (optional)

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

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ADDITIONAL DETAILS (optional)

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 (optional)

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

Includes (optional)

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)

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Special note (optional)

Please note: 3/4 year old program receive no government funding so the fee subsidy is not available for concession card holders.

PAYMENT DETAILS (optional)

PAYMENT DETAILS

I have paid the $25 Preschool Application Fee (PAF) as follows:

Credit Card

Cheque/Money order

EFT Deposit (details below) or over the counter

Payment Info (optional)

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

DECLARATION (optional)

DECLARATION

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

Month
January
February
March
April
May
June
July
August
September
October
November
December

Year
2019
2020
2021