4 year old Enrolment Application for 2022

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Complete this enrolment application form and send a copy of the child’s birth certificate or suitable evidence of the child’s birth date AND Proof of Immunisation to tecomaenrolments@gmail.com

Please ensure your email address remains up-to-date and that you check your email regularly, as this is how we will contact you with your enrolment offer and any other information.

Please notify the service of any changes to your address or other relevant information by contacting  9754 5392. 

Email *

Child’s Family Name: *

Child’s Given Names: *

Child’s Date Of Birth:

YYYY

Gender:

Female

Male

Prefer not to say

Other:

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Parents’ or Guardians’ Names: *

Mobile Phone No: *

Second phone number (if applicable)

Address: *

Year of attendance of siblings (if applicable):

Languages Spoken at Home: *

This application is for a second year of funded kindergarten. If yes, please email a copy of the relevant paperwork to tecomaenrolments@gmail.com

Yes

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Kindergarten fee subsidy DEECD provides a fee subsidy for eligible families. Please indicate if you are eligible for one of the following concessions, or meet one of the following criteria: *

Not Applicable

Health Care Card

Pensioner Concession Card

DVA Gold Card

Bridging Visas A–F

Temporary Protection/Humanitarian Visas 447, 451, 785 or 786

Resolution of Status Visa (RoS) Visa Class CD, Subclass 851

Refugee and Special Humanitarian Visas 200–217

Triplets or Quadruplets

Aboriginal or Torres Strait Islander

Please enter the number of your concession card here. (Supporting documentation will need to be sighted on commencement at Tecoma Preschool. Note: the eligibility of concessions may vary from time-to-time. Up-to-date information can be found at www.education.vic.gov.au/ecsmanagement/careankinder/funding/subsidy.htm)

Does your child have additional needs, dietary restrictions, allergies etc.?

Yes

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If yes , please specify:

You are encouraged to discuss your child’s needs with the educator when your child’s place is confirmed. Is your child registered with a specific support service/agency?

Yes

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Name of support service/agency:

Digital Signature of Parent/Guardian:

Send me a copy of my responses.

Submit

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