Home Road Kindergarten - 3 year old Kindergarten Application Form
Please note that your child must turn three years of age on or before 30 April in the year that they are to attend. Please refer to our Enrolment & Orientation policy when completing this application.

Complete and submit this application form and we will make contact with you in the year prior to your child's applicable attendance year. Please notify the centre via email of any changes to your address or other relevant information.

Reminder: this application form is for three year old kindergarten only. For four year old kindergarten, you need to submit an application with Hobsons Bay City Council once your child has turned two years of age.

Important note: In line with the State Government "No Jab No Play" legislation, your child's enrolment cannot be confirmed until you provide an up to date Immunisation History Statement from the Australian Childhood Immunisation Register (ACIR) as evidence of their immunisation status (when requested). The only exemptions under the law are children who meet the criteria for the Grace period or who have a medical contraindication recorded with ACIR.

Please enter the year your child is eligible to attend (must turn 3 by 30 April in the year they are to attend): *
Your answer
Child's first name *
Your answer
Child's surname *
Your answer
Child's date of birth *
Your answer
Child's gender *
Your answer
Please select whichever applies to your child *
Required
Parent/guardian name/s *
Your answer
Street Address *
Your answer
Suburb/State/Postcode *
Your answer
Parent/guardian contact numbers (home/mobile) *
Your answer
Parent/guardian email *
Your answer
Language/s spoken at home
Your answer
Have any siblings attended Home Road? *
If yes, please provide sibling name and most recent year attended
Your answer
Does your child have medical or additional needs or are you concerned about any aspect of your child’s development (eg. physical, speech, social skills)? If yes, please provide detail
Your answer
Name of person completing this form *
Your answer
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