Enrolments will only be accepted from 1st May 2015 for places in 2016
4 YEAR OLD FULL DAY CARE FUNDED KINDERGARTEN ENROLMENTS FOR 2016 ONLY
This is not a guarantee of enrolment. To be eligible for 4 year old kindergarten, children must be four years of age or older by 30th April in the year they start kindergarten.Children will need to attend for a minimum of 2days per week to be eligible for this program.
To remain on the waiting list families must update personal information as required.
Date: / My child will be eligible to attend Funded Kindergarten in: ______(year)CHILD INFORMATION
(One application per child)
Child’s first name: ______Child’s family name: ______Child’s date of birth: ______M F
Does this child have a sibling currently on the Centralised Wait List?
If yes, please provide details below:
Child’s Name/s: ______
Child Care Centres Centralised Wait List 4 Year Old Funded Kindergarten Wait List
PARENT INFORMATION
Parent/Guardian No.1Relationship to Child:Title: Name:Surname:Date of birth:
Address:Postcode:
Home Phone:Work Phone:Mobile:
Email address:Fax:
Parent/Guardian No.2Relationship to Child:
Title: Name:Surname:Date of birth:
Address:Postcode:
Home Phone:Work Phone:Mobile:
Email address:Fax:
Do you work or study in the City of Kingston? Yes No
Is your child of Aboriginal or Torres Straight Islander descent? Yes No
Do you require an interpreter? Yes No
Parent No.1. What is your first language?
Parent No. 2. What is your first language?
(Please note the above information is only a statistical collection and will not affect your place on our waiting list).
DAYS OF 4 YEAR OLD FUNDED KINDERGARTEN REQUIRED (tick applicable)
Monday Tuesday Wednesday Thursday Friday Are these days flexible? Yes No Do you have any flexibility to start with less days? Yes No
How many days of care per week do you require? 2 or 3 or 4 or 5 (Please circle one number only)
Has your child attended a Funded Kindergarten program in the previous year?Yes No
Is your child accessing a Funded Kindergarten program in another setting?Yes No
REASON FOR CARE (tick all applicable)
Single Parent.Yes No Parent working / studying / training:
Parent 1Yes No
Parent 2Yes No
Do you require an interpreter?Yes No
Parent seeking work.Yes No
Does your child have a diagnosed disability, any food allergies or special requirements?Yes No
If yes, please give details:
KINDERGARTEN PREFERENCE FOR 2016 ONLY
If you choose more than one Kindergarten, please put in the order of your preference.
Number in orderof Preference
____ / Edithvale Family & Children’s CentrePhone: 8782 1200122 Edithvale Road, Edithvale Vic 3196 (call for tour bookings or general enquiries)
____ / Parkdale Family & Children’s CentrePhone: 8586 0900
122 Warren Road, Parkdale Vic 3195(call for tour bookings or general enquiries)
For waitlist enquiries please phone: 9581 4910
I acknowledge that all information supplied on this form is correct at the time of signing.
Signature: ______Date:
Information provided for this form will be used for the purpose of allocating vacant child care places at a City of Kingston Child Care Service
Personal information collected by Council is used for municipal purposes as specified in the Local Government Act 1989. The personal information will be held securely and used solely by Council for these purposes and/or directly related purposes. Council may disclose this information to other organisations if required or permitted by legislation. The applicant understands that the personal information provided is for the above purpose and that he or she may apply to Council for access to and/or amendment of the information. Requests for access and/or correction should be made to Council's Privacy Officer. A full copy of our Privacy Policy may be obtained from the Kingston website: or from one of our Customer Service Centres.