Mildura Rural Council
KINDERGARTEN ENROLMENTS
2020
First round closing date 30 June 2019
Important Information
Please read the Enrolment Information Booklet for further information on the enrolment process and allocation of places.
Things you need before completing this form:
  • Please complete all sections of this form. Failing to do so may result in Mildura Rural City Council being unable to process your application and may be returned to you.
  • An email address, if you require support to complete the online application please phone Administration on 5018 8562 to arrange assistance with this process
  • Please inform enrolment staff immediately of any changes to this enrolment form by emailing [email protected] or by calling 5018 8562 e.g new address, telephone number, and change of preference. Change of details or preference form is available on the website.
  • A Childhood Immunisation History Statement . This document can be downloaded from the MyGov website. Maternal and Child Health Book records cannot be accepted.
  • Supporting documentation for
    • Any visa you may hold.
    • Any concession cards you may have.
    • supporting medical documents.

    Please Note: All Preschool enrolment applications incur an $30 administration fee charged with term fees. Not applicable to concession card holders
GENERAL ENROLMENT INFORMATION
THIS ENROLMENT: for 2020
(2 years prior to starting school – child MUST be 3 years of age – please refer to information guide)
(The year prior to school)
PREVIOUS YEAR: 2019 (if applicable)
Did your child attend a 4-year-old funded kindergarten in 2019? i.e. is this a second year application
Did your child attend a pre-kindergarten program in 2019?
Early Start Kindergarten Funding (eligibility)
Early Start Kindergarten enables eligible 3 year old children to access a kindergarten program for up to 15 hours per week. To be eligible for Early Start Kindergarten children must be:
Aged 3 years of age prior to the 30th April, in the year they are attending
AND an Aboriginal or Torres Strait Islander person
OR known to Child Protection (including children referred from Child Protection to Child FIRST?
Information and Links for Immunisation
Immunisation history examples
Immunisation paperwork examples
Information and Links for Immunisation
Immunisation Compliance
REQUIRED DOCUMENT
Childhood Immunisation History Statement. (See above for examples.)
The immunisation history statement is a required document and can be uploaded here.

Allowed document extensions:
pdf, docx, doc, jpg, jpeg, png
Has this child attended their 3 ½ year old assessment with Child and Maternal Nurse? *(required)
Residential Details
Home Address
Postal Address
Parent/Guardian Details
Parent/Guardian 1 *(required)
Parent/Guardian 2
Do you hold any of the following Visas?
REQUIRED DOCUMENT
If yes, please provide a copy of the above Visa
Allowed document extensions.
pdf, docx, doc, jpg, jpeg, png
Please upload a copy of your visa document here.
Do you hold one of the following concession cards?
REQUIRED INFORMATION
/ mm/yy
I authorise:

• The Mildura Rural City Council to use Centrelink Confirmation eServices to perform a Centrelink/DVA enquiry of my Centrelink or Department of Veterans’ Affairs customer details and concession card status to enable the business to determine if I qualify for a Preschool concession service.


• The Australian Government Department of Human Services (the department) to provide the results of that enquiry to Mildura Rural City Council.



Child’s Details
Basic Information
Child resides with
Gender
Is this child Aboriginal or Torres Strait Islander?
Do you give permission for your information to be shared with Djillay Lidji Aboriginal Best Start?
Does either parent work, study or have other children at school within the location of the kindergarten?
Medical Information
Is this child on regular medications
Does this child have a Health Record?
Do you have an Ambulance subscription?
Are you attending regular Maternal and Child Health visits with your child?
Sibling Information
Does this child have a sibling(s) who attended kindergarten in the past 5 years?
Is this child either
Support Services

Providing information about special conditions of your child will ensure they are supported to get the best out of preschool. This information will only be used to assist the development of your child and will be provided to the Early Education Teacher and Field Officer.


In the last three/four years, has this child used any support services? (select all that apply)
Does this child have concerns with any of the following?


Your preferences

Your preference is important to us, it will be used as a guide in planning our preschool services. Unfortunately we cannot guarantee that all requests can be met.


Please select six preschools in order of preference. One for your first your choice, two for your second choice, up to six preferences. You may choose preferences in other locations.


Six preferences must be selected. If not, the remaining preferences will be selected for you to ensure a fair ballot process.

Kindergarten selection *(required)
Please select your Pre-Kindergarten choices
Please select your Kindergarten choices
Please indicate your preferred session format (tick all that apply) *(required)
Preferred preschool days (tick all that apply) *(required)
Do you believe this application should be given special consideration? *(required)
REQUIRED DOCUMENT
If yes, please provide a copy any supporting documents
Please upload associated documents here.
Allowed document extensions.
pdf, docx, doc, jpg, jpeg, png
Permissions
Sunscreen:  I give permission for staff to support my child to apply sunscreen in accordance with the policy
Hair Checking:   I give permission for my child’s hair to be checked for head lice & eggs
Emergency & Fire Drill:  I understand that in an emergency situation where the evacuation or drill is necessary that my child may need to leave the Education and Care Service under the direction and supervision of educators
Photographs & Video:  I give permission for my child to be photographed or videoed at the centre, to be used:
Externally (for websites, social media and newspaper)
Internally (for displays, educational programs & portfolios)
I understand that:

• The department will disclose personal information to Mildura Rural City Council including my name/address/payment type/payment status and concession card type and status to confirm my eligibility for Preschool.


• This consent, once signed, remains valid while I am a customer of Mildura Rural City Council Family Services unless you withdraw it by contacting the Mildura Rural City Council or the department.


• I can get proof of my circumstances/details from the department and provide it to Mildura Rural City Council so my eligibility for concession can be determined.


• If I withdraw my consent or do not alternatively provide proof of my circumstances/details, I may not be eligible for the concession provided by Mildura Rural City Council.


Important Information

Council is committed to the protection of your privacy.


The information on this form will be collated on a database, to assist with planning of preschools services.


The information sought through this Preschool Enrolment Form will only be used by Latrobe City Council in conjunction with the Department of Education and Training and/or Centrelink for the purposes of your child’s preschool placement and future planning.



Once you hit the submit button you will receive a confirmation email. If you do not receive the email, we have not received your enrolment. Please contact Family Service Admin on 1300 367 700.


Any questions? Phone the Early Learning team on 1300 367 700.