4 year old Enrolment Application for 2022
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 address *
Child’s Family Name: *
Child’s Given Names: *
Child’s Date Of Birth:
MM
/
DD
/
YYYY
Gender:
Clear selection
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
Clear selection
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: *
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.?
Clear selection
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?
Clear selection
Name of support service/agency:
Digital Signature of Parent/Guardian:
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy