Central Kindergarten Registration

Application Form for 3 and 4 year old Kindergarten

This form enables you to register your interest to attend kindergarten within the City of Ballarat the year prior to attending school or to attend 3 year old kindergarten two years prior to attending school.

For further information related to Central Kindergarten Registrations and criteria for priority of access please refer to City of Ballarat Central Kindergarten Registration policy

This registration applies to these member kindergartens.

Child Details

today Date of Birth
for example: 31 01 2016
DD
MM
YYYY
Is your child female or male?
Is your child a twin or triplet?

Does your child have a disability, developmental delay or complex medical needs?

Answers to the following questions may mean that your child is eligible for free or subsidised kindergarten

Is your child identified as being of Aboriginal or Torres Strait Islander origin?
Does your child have Refugee or Asylum Seeker status?
Are you a Health Care or Concession Card holder?
Has your child had contact with ChildFIRST or Child Protection?

Parent or Guardian Contact Details

Primary Decision Maker
phone
email
Additional Parent or Guardian (optional) delete
phone
email

Additional Contact Details (optional)

In the event you are unable to be contacted, please give permission to contact:

phone
email

Kindergarten Preferences



3 Year Old Program
Preferences
4 Year Old Program
Preferences

Privacy Collection Statement

Your personal information is being collected by the City of Ballarat for the purposes of kindergarten allocation. Your information will be stored in the City of Ballarat’s Customer Database and used to identify you when communicating with the City of Ballarat and for the delivery of services and information. For further information on how your personal information is handled, refer to the City of Ballarat’s Privacy Policy at www.ballarat.vic.gov.au