Ave Maria Kindergarten
Registration
APPLICATION
This registration is for (select one):
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3 Year old program
4 Year old preschool
CHILDS DETAILS
Childs Details
Child's Given Name
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Childs Family Name
*
Childs Date of Birth
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Gender of Child
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Male
Female
Child's Country of Birth
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CHILDS DETAILS PART 2
Language spoken at home
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Cultural Background
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Is the child a
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Twin
Triplet
Quadruplet
None of the Above
Is this child of Aboriginal and/or Torres Strait Islander descent?
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No
Yes, Aboriginal
Yes, Torres Strait Islander
Yes, both
DOCUMENTS
Please upload file of child's birth certificate or passport.
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Please upload childs Immunisation History Statement from Medicare. Please refer to the Immunisation Toolkit in the Enrolment Policy
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KINDER HISTORY
Kindergartern History
Is this child currently attending an Ave Maria Kindergarten program?
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Yes
No
Please indicate which class they are currently in
Is the child currently attending a different Kindergarten service?
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No
Yes
Please indicate where
Is this child a sibling of a past child at our Kindergarten service between 2018-2020?
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No
Yes
What is the name of the sibling/s and what year/s did they attend Ave Maria Kindergarten?
Please attach Medicare Card for proof of sibling
Does your child have any siblings that will be attending Ave Maria Kindergarten in 2021?
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Yes
No
(Please indicate)
Younger
Older
Twin
Triplets
Other
Has your Child previously attended a funded kindergarten program?
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No
Yes
Please indicate at which kindergarten
AREA RESIDENCY
Area Residency
Are you a resident/taxpayer of the City of Moonee Valley?
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Yes
No
Please Upload a copy of rates notice, utilities bill or rent agreement in the name of the parent/guardian within the last 3 months
Do you or the child hold fee subsidy card/s or immigration visa card/s?
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No
Yes
Please note if you are registering to enrol for the 4 YEAR OLD program, and you or your child hold a fee subsidy card you are exempt from paying the $30 administration fee. Which fee subsidy card or immigration visa card do you or the child hold?
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Commonwealth Health Care Card
Commonwealth Pensioner Concession Card
Department of Veteran Affairs Gold Card
Temporary Protection/Humanitarian visas 447, 45, 785 or 786
Asylum Seeking Bridging visa A-F
Refugee and Special Humanitarian Visa 200-217
Resolution of Status (RoS visa, Class CD, subclass 851)
Emergency Rescue visa (subclass 203) Bridging visas A-E
Protection visa (subclass 866)
Women at risk visa (subclass 204)
Upload a copy of the front card/visa
Upload a copy of the back card/visa
CHILDS INFORMATION (CONT)
Childs Information (continued)
a) Has your child been given a diagnosis or are they currently awaiting a diagnosis for a developmental delay, disability (including intellectual, sensory or physical limitation) or medical need condition/need?
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Yes
No
a) Please provide more information
a) Please upload relevant documentation
b) Does this child need assistance to help them attend kindergarten?
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Yes
No
b) Please provide more information
b) Please upload relevant documentation
c) Has your child or family ever been referred to a support agency? E.g. Early intervention, Family services, Noah’s Ark, Scope, RCH, Department of Health and Human Services (DHHS) CoHealth?
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Yes
No
c) Please provide more information
c) Please upload relevant documentation
For planning purposes does your child have any Asthma, Allergy, Anaphylaxis or Medical conditions?
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Yes
No
Please indicate which
Are you or your child known to Child Protection or Child FIRST?
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No
Yes
Please note as you or the child is known to Child Protection or Child FIRST you are exempt from paying the $30 administration fee and may be able to receive further subsidy assistances – please see Kindergarten Director.
$30 Exempt
CONSENT
Consent
To provide your child with the best possible start to kinder, staff may speak to support service your child has accessed including but not limited to Pre-School Field officer, pervious early childhood educators, Scope, RCH, CoHealth, DHHS etc. Do you consent to information about your child being sort by Ave Maria Kindergarten staff for the purpose or supporting your child’s education, Health and Wellbeing?
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Yes
Ave Maria Kindergarten has zero tolerance towards bullying and harassment of office staff, committee members and educators. Enrolments for our kindergarten will be refused in the event of any bullying or harassment of an office staff member, committee member or educators. By completing this form you acknowledge that you agree to adhere to this.
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Yes
PARENT/GUARDIAN DETAILS – 1
1st Parent/Guardian Details
Title
Mr
Mrs
Ms
Miss
Dr
Other
Given Name
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Surname/Family Name
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Street Address
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Suburb
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State
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VIC
NSW
QLD
WA
SA
TAS
Postcode
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Home Phone
Work Phone
Mobile Phone
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Email
Relationship to child
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Interpreter required?
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Yes
No
PARENT/GUARDIAN DETAILS – 2
2nd Parent/Guardian Details
Title
Mr
Mrs
Ms
Miss
Dr
Other
Given Name
Surname/Family Name
Street Address
City
State
VIC
NSW
QLD
WA
SA
TAS
Postcode
Home Phone
Work Phone
Mobile Phone
Email
Relationship to child
Interpreter required?
Yes
No
Please nominate which email address would you prefer to receive Kinder emails?
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Splitter
If have any additional information for the kindergarten please provide details here:
Send
Registration Fee
Registration Fee
There is a non-refundable registration fee of
$30.00
PER CHILD.
Registration Fee Exempt
Please note as you or the child is known to Child Protection or Child FIRST you are exempt from paying the $30 administration fee and may be able to receive further subsidy assistances – please see Kindergarten Director
Total
$
0
OFFLINE
Error occured. Please confirm your data and submit again:
35 Fawkner St, Aberfeldie VIC 3040
03 9337 7286
info@avemariakinder.vic.edu.au