Waitlist Registration Form
Child's Date of Birth
Child must have turned 2 to register for a kindergarten program.
What program would you like your child to attend?
3 year old kindergarten
4 year old kindergarten
What year would you like your child to attend this program?
Parent / Guardian Name
Street Address Line 2
State / Province
Other Important Information
Is your child of Aboriginal or Torres Strait Islander descent?
Yes, Torres Strait Islander
Yes, Aboriginal and Torres Strait Islander
Does your child meet any of the following criteria?
Eligible for Early Start Kindergarten or Access to Early Learning
Known to Child FIRST, Child Protection or family services
Referred by a Maternal and Child Health nurse, support service or Out of Home Care provider
Does your child have a health, medical or developmental condition that requires extra support or services?
Please provide a brief description so we can better plan to support your child and family:
Do you have child(ren) who previously attended Denzil Don Kindergarten?
Please provide name(s) and year attended.
The Government’s No Jab No Play law requires children to be age-appropriately immunised prior to enrolment acceptance. Information regarding immunisation requirements can be found at: betterhealth.vic.gov.au/campaigns/no-jab-no-play
Is your child age-appropriately immunised?
I understand my child’s name has been placed on the waitlist for the program and year specified. I acknowledge my child’s acceptance in the kindergarten program is determined by the requirements of priority of access outlined in the enrolment policy on the kindergarten website. Signature:
Registration Fee Payment
( X )
Waitlist Registration Fee
I understand that a waitlist registration fee of $25 is payable with this application. It covers administrative costs associated with the registration and is non-refundable.
Credit Card Number
Should be Empty: