Kindergarten Enrolment - Expression of Interest Form

Kindergarten Enrolment - Expression of Interest Form

Please complete this expression of interest form to register your child for 3 Year Old or 4 Year Old kindergarten.
Interpreter Service
Do you require an interpreter to assist you at the service?*

YesNo
What language do you require?*

MandarinPunjabiHindiKarenArabicVietnameseMalayalamDariSwahiliUkrainianBosnianOther
Best contact for registration and enrolment

This could be a parent or legal guardian. Placement offers are sent via email. Please ensure your email address and contact phone number are correct and be sure to check your junk email box throughout the registration and enrolment process.
Name Of Parent/ Guardian*

First NameLast Name
Relationship to child*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian Email : We will send all correspondence/emails to the email address you provide. Please ensure you advise us of any changes to your contact details either by editing this page and resubmitting or via email at kinderenrol@geelongcity.vic.gov.au.*
example@example.com
Phone Number ( Day Time)*
Please enter a valid phone number.
Name Of Second Parent/Guardian (if required)

First NameLast Name
Phone Number (Secondary Parent/ Guardian)
Please enter a valid phone number.
Child's Details
Name*

First NameLast Name
Date of Birth*

DayMonthYear
Does your child have any additional needs?*

YesNo
Please specify
Please select the kinder program you wish to register for*

3 yr old kindergarten4 yr old kindergarten
What year will your child attend 3 year old kindergarten*

202520262027
What year will your child attend 4 year old kindergarten*

202520262027
First Preference of Kindergarten*

Boorai Centre (Shell Rd, Ocean Grove)Bop Bop Karrong (Kornoo) (2D Geelong Road, Barwon Heads)Grovedale Child and Family Centre (45 Heyers Rd, Grovedale)Korayn Birralee Family Centre(146 Purnell Road, Corio)Leopold Child and Family Centre (31-39 Kensington Rd, Leopold)Norlane Child and Family Centre (52-56 Gerbera Ave, Norlane)Thomson Kindergarten (2c Godfrey St, Thomson)Whittington Child and Family Centre (Apollo Drive, Whittington)
Second Preference of Kindergarten

Boorai Centre (Shell Rd, Ocean Grove)Bop Bop Karrong (Kornoo) (2D Geelong Road, Barwon Heads)Grovedale Child and Family Centre (45 Heyers Rd, Grovedale)Korayn Birralee Family Centre (146 Purnell Road, Corio)Leopold Child and Family Centre (31-39 Kensington Rd, Leopold)Norlane Child and Family Centre (52-56 Gerbera Ave, Norlane)Thomson Kindergarten (2c Godfrey St, Thomson)Whittington Child and Family Centre (Apollo Drive, Whittington)
Has your child already attended a funded year of kindergarten*

Yes, 3 year oldYes, 4 year oldNo
Are you or your child receiving support from any agencies or services?*

YesNo
Please specify
Are you or your child known to Child Protection*

YesNo
Please indicate if you hold or experience any of the following*

Not applicablea Commonwealth Health Care Carda Commonwealth Pensioner Concession Carda Department of Veterans’ Affairs Gold Card or White CardRefugee visa (subclass 200)In-country Special Humanitarian visa (subclass 201)Global Special Humanitarian visa (subclass 202)Temporary Humanitarian Concern visa (subclass 786)Protection visa (subclass 866)Emergency Rescue visa (subclass 203)Woman at risk visa (subclass 204)Bridging visas A-EOut of Home CareYou or your child are Aboriginal and/or Torres Strait IslanderYour child is identified on their birth certificate as being a multiple child (triplets or more)
Please upload a photo of your Commonwealth Health Care Card/Commonwealth Pensioner Concession Card or Department of Veterans’ Affairs Gold Card or White Card.*
Add Visa number if applicable*
If you are unsure and require help please call our Kindergarten Administration team on 5272 4741
Do you have any additional information that may be relevant to your child's expression of interest?

YesNo
Please provide additional information
Where did you hear about Kindergarten registration?*
Declaration

You acknowledge the selection of the Kindergarten preferences that you have indicated above. You acknowledge that, where incorrect information has been supplied on the registration form, offers of places may be withdrawn.
You agree*

Yes
Privacy policy
The collection and handling of personal information in this form is carried out in accordance with Council's Privacy Policy.
Contact us

Please get in touch if you have any questions, need any help in completing the EOI form, or in understanding how the registration process works.

Phone: 03 5272 4741
Email: kinderenrol@geelongcity.vic.gov.au
Should be Empty:

Kindergarten Enrolment - Expression of Interest Form

Interpreter Service

Best contact for registration and enrolment

Child's Details

Declaration

Contact us