Glen Serrell Street Kindergarten

Kindergarten Registration Form

Glen Serrell Street Kindergarten
This application does not guarantee a Kindergarten placement.
Application Information
Registration For*
Application Year*
Is your child currently enrolled already at Serrell Street Kindergarten in 2023?

YesNo
Child Details
Child Name*

First NameLast Name
Child Date of Birth*
Gender*

MaleFemaleN/A
Primary language spoken at home *
Parent/Guardian Details
Name*

First NameLast Name
Street Address (line1)*
Suburb*
State*
Email*
example@example.com
Mobile Number*
Postcode*
Additional Information
By completing the following information, you will help our team support your family. Providing this information is also a requirement of the Department of Education.

Note, eligibility of concessions may vary from time-to-time. Up-to-date information can be found here
Please select if you hold a current concession card of fit the below criteria:

Commonwealth Health Care CardCommonwealth Pensioner Concession 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 visa A-E for humanitarian or refugee visaHumanitarian Stay visa (subclass 449)Temporary Protection visa (subclass 785)Safe Haven Enterprise visa (subclass 790)Department of Veterans Affairs (DVA) Gold Card or White CardTriplets or QuadrupletsCurrent or expired ImmiCard
Please attached a copy of your pension / visa or relevant documentation*

Browse Files

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Is your Child Aboriginal and/or Torres Strait Islander?*
Does your child have any additional needs? (Additional needs are children who require additional assistance in order to fully participate in the kindergarten program, require a combination of services which are individually planned or have an identified specific disability or developmental delay)*

YesNo
If yes, please specify
Is your child registered with a specific Support service / agency?*

YesNo
Name of support service / agency
Is this child or family known to child protection?*

YesNo
Lawful Authority:

I am the person with lawful authority of the child referred to in this offer form. I declare that the information in this form is true and correct.

*Parents: All parents have powers and responsibilities in relation to their children which can only be changed by a court order. The Education and Care Services National Regulation refer to those powers and responsibilities as 'lawful authority'. It is not affected by the relationship between parents, such as whether or not they have lived together or are married. A court order, such as under the Family Law Act, may take away the authority of a parent to do something, or may give it to another person.

*Guardians: A guardian of a child also has lawful authority. A legal guardian is given lawful authority by a court order. The definition of 'guardian' under the Education and Care Services National Law Act 2010 also covers situation where a child does not live with his or her parents and there are no court orders. In these cases, the guardian is the person the child lives with who has day-to-day care and control of their child.
Lawful Authority:*

I agree
Glen Education Privacy and Confidentiality Policy Collection Statement:

We believe your privacy is important. We have put in place a ‘Privacy and Confidentiality Policy’, which explains how we will collect, use, disclose, manage and transfer personal information including health information. This policy is available on the Glen Education website.
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Additional Information