Company How to complete this form: Please indicate whether this form is a new application or an amendment to an existing application by ticking the applicable box below. A range of information is gathered for legislative and statistical purposes - please ensure you complete all sections of this form to help us process your application as soon as possible. Alternatively you can download the form here and email completed form to info@camirakindy.com.au. IMPORTANT NOTE: Lodgement of this form does not guarantee your child a place at Camira C&K Kindergarten. This form is a Waiting List application form ONLY. Camira Kindergarten does not have a sibling policy; you must complete a separate form for each child. Application type New Application New Application Amendment to Existing Application Your child's details Child's given name * Child's family name * Child's address * Suburb, Postcode Home phone number * Country of birth * Date of birth * Child's gender * Male Female Non-Binary / Unspecified Child's first language * Main language spoken at home Child's second language Is your child of Aboriginal descent? * Yes No Is your child of Torres Strait Island descent? * Yes No Do you or your child have a current concession card? Eg: Health Care Card / Pension Card or Veterans Health Care Card * Yes No Parents/Guardians details Parent / Guardian 1 Details Given Name and Surname Main Contact Number Relationship to child Preferred Email address Is your address the same as the child? * Yes No If different please provide Parent / Guardian 2 Details Given Name and Surname Main Contact Number Relationship to child Preferred Email address Is your address the same as the child? * Yes No If different please provide APPLICATION DETAILS The information you provide in this section will help us plan a positive and supportive transition for you child if an enrolment offer is made. Does your child have any medical conditions (diagnosed by a medical practitioner)? * Yes No If yes, give details: Has your child been assessed, identified and/or diagnosed with additional needs? * Yes No If yes, give details: Our Kindy runs on a five-day fortnight program with two groups of 22 children in each group. Please tick below your preferred group. * Yellow Group – Monday, Tuesday and every second Wednesday Green Group – Thursday, Friday and every second Wednesday Any Group How did you find out about Camira C&K Kindergarten? find out Word of mouth Existing C&K Service C&K Website Yellow Pages White Pages Facebook School Flyer / Brochure Other If other please give details below Year of commencement Please tick the box * 2024: Child born between 01 July 2019 – 30 June 2020 2025: Child born between 01 July 2020 – 30 June 2021 2026: Child born between 01 July 2021 – 30 June 2022 2027: Child born between 01 July 2022- 30 June 2023 2028: Child born between 01 July 2023 – 30 June 2024 2029: Child born between 01 July 2024 – 30 June 2025 2030: Child born between 01 July 2025 – 30 June 2026 Acknowledgement: Name of person lodging this form * Date Contact number/s * Preferred Email Address * WHAT HAPPENS NOW? The Kindergarten will send a confirmation email to let you know that the form has been received. We may also contact you to discuss your application and clarify some details. We will contact you should a place become available. Please advise Camira Kindergarten should any of your contact details change. Enrolment offers for the following year are conducted in July/August of the previous year. Positions are offered according to the date that the waiting list form was received and confirmed by the Kindergarten Directors.
