• Kindergarten Registration

  • * Denotes the field is mandatory

  • Application Information

  • Preferences

    Preference options will be shown once you have selected your registration type (3 year old, 4 year old or both)

    Please only select preferences you will be willing to accept.

  • Child Details

  • Male Female
  • Is there a Court Order or Parenting Plan in place for this child?
    Yes No

  • Parent/Guardian 1 Information

  • Cares for child:
    Full Time Part Time Other
  • Click here if this parent's address details are the same as the child's address details

  • Home Phone

    Business Phone

    Mobile Phone

  • Interpreter required?
    Yes No

  • Parent/Guardian 2 Information

  • Cares for child:
    Full Time Part Time Other
  • Click here if this parent's address details are the same as the child's address details

  • Home Phone

    Business Phone

    Mobile Phone

  • Priority of Access for Kindergaten

  • Is your child Aboriginal or Torres Strait Islander?
    Yes No
  • Is your child from a culturally and linguistically diverse background?
    Yes No
  • Does your child have refugee or asylum seeker status?
    Yes No
  • Is your family known to a Child & Family Services, Child First or a Child Protection Agency?
    Yes No
  • Is the child in an Out of Home Care arrangement including kinship care?
    Yes No

  • Immunisation Status

  • Is your child's immunisation up to date?
    Yes No

    As of January 2016, all children attending an Early Childhood Service must be fully immunised.
    An immunisation history statement will need to be provided when enrolling your child.

  • Maternal & Child Health Details

  • Has your child attended their Maternal Child Health key age and stage assessment?
  • 2 year old assessment
    Yes No Currently Not Eligible
  • 3 1/2 year old assessment
    Yes No Currently Not Eligible
  • Attended which Maternal & Child Health Centre:
  • Is your child a triplet/quadruplet?
    Yes No

  • Prior Connection

  • Has a sibling attended your first preference for 4 year old kindergarten in the past? Yes No

  • Concession Cards

  • Do you have a current/valid concession card/visa ?
    Yes No





  • Additional/Medical Needs

  • Does your child have any pre-existing medical condition, diagnosed need or a disability?
    Yes No

    Does your child have a National Disability Insurance Scheme (NDIS) Plan?
    Yes No
  • Does your child access or are they on the waiting list of any specialist services?
    Yes No

  • Additional comments to support your application

  • Declaration

  • The information contained in this registration for Horsham & District Kindergarten Association central enrolment system is true and correct.

    I hereby declare that I have read, understood and agree to this declaration.