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Online kindergarten enrolment

The online Kindergarten enrolment form can be used by parents/guardians who live within Loddon Shire. If you live outside of the Loddon Shire, please download the enrolment form or contact the Early Years department on 5437 7999 for a printed copy of the application form to be sent to you.

This is an application form only and does not guarantee a kindergarten placement.

Before you start, please have:

an electronic copy of your child's:

1. Proof of age

2. Immunisation status certificate 

If you do not have a copy of these they can be supplied before your child commences kinder

Please complete the form below:

Year child will attend preschool: * (Required)

Open the calendar popup.
Is the child a twin or triplet? * (Required)

Gender: * (Required)

Child lives with: * (Required)




Parent/guardian # 1 relationship to child: * (Required)


Parent/guardian # 1 gender: * (Required)

Parent/guardian # 2 relationship to child:


Parent/guardian # 2 gender:

Authorised person # 1 relationship:







Authorised person # 1 gender:

Authorised person # 1 authorised to:
01. Collect child
02. Notified in an emergency involving my child
03. Authorise administion of medication to the child by the educator
04. Consent to seek medical treatment from a GP, dental, hospital and ambulance transportation
05. Authorise an educator to take the child outside the service's premises (eg excursions)















Authorised person # 2 relationship:







Authorised person # 2 gender:

Authorised person # 2 authorised to:
01. Collect child
02. Notified in an emergency involving my child
03. Authorise administion of medication to the child by the educator
04. Consent to seek medical treatment from a GP, dental, hospital and ambulance transportation
05. Authorise an educator to take the child outside the service's premises (eg excursions)













The child will be seeking to use the school bus service to travel to preschool: * (Required)

Are there any court orders, parenting orders, restraining orders or parenting plans relating to the powers, duties, responsibilities or authorities of any person in relation to the child or access to the child? * (Required)

Indigenous status: * (Required)



Open the calendar popup.
Open the calendar popup.
Maternal and Child Health (MCH) Centre: * (Required)




Other
Has the child had their 2 year check with the Maternal and Child Health nurse? * (Required)

Has the child had their 3 1/2 year check with the Maternal and Child Health nurse? * (Required)

Is the child up to date with their immunisations? * (Required)

Has your family had in the past or at present involvement with any of the following:
Child Protection
Family first/Child First?

Does the child have:







Is the child on a waiting list or do they attend an Early Intervention service? * (Required)

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I, as the person with parental responsibility of the child referred to in this enrolment form declare that:





PLEASE NOTE:

1. The page can take some time to submit, especially with attachments. Please be patient. The page will change to an acknowledgement page once the form has been sucessfully submitted.

2. If you receive a message that you have not completed a required field, you will need to reselect any attachments in the Documentation section.

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