LMPA Kindergarten Registration

* Denotes the field is mandatory

Application Information

  • Application Year

  • 2nd Year of 4 Year Old Kindergarten

  • Is this a 2nd year of 4 Year Old Kindergarten application?
  • Preferences

    Preference options will be shown once you have selected your Registration Type and Application Year above

    Please only select preferences you will be willing to accept.

Child Details

  • Is your child a triplet/quad who is attending in the same year as their siblings?
  • Is your child a twin who is attending in the same year as their siblings?

Parent/Guardian 1 Information

  • Home Phone

    Business Phone

    Mobile Phone

  • Email addresses entered must match
  • Will the child's family/carer require an interpreter?
  • Are you a single parent family?

Parent/Guardian 2 Information

  • Home Phone

    Business Phone

    Mobile Phone

Priority of Access for Kindergarten

Additional Child Information

  • At Risk/Vulnerable/Out of Home Care

  • Is your child Known to the Department of Families, Fairness and Housing (DFFH)/Child Protection?
  • Is your child in an Out of Home Care Arrangement including Kinship Care?
  • Is your child Aboriginal and/or Torres Strait Islander Status

  • Is your child identified as Aboriginal or Torres Strait Islander?
  • Asylum Seeker/Refugee

  • Is your family an Asylum Seeker or Refugee?
  • Early Start

  • Is your child eligible for the Early Start Kindergarten (ESK) program?
  • Family Services

  • Does your child/family have a case manager / family support worker?


    Phone

    Mobile

  • Concession Cards

  • Do you or your child hold a current Concession/Veteran Affairs Card or Protection/Asylum/Refugee Visa?
  • Additional needs of the child

  • Has your child been diagnosed with any additional needs or involved in/referred to any development support program?
  • Medical needs of the child

  • Does your child have any an medical conditions/allergies?
  • Prior Connection

  • Does your child have a prior connection to your 1st preference by the way of sibling in the past 3 years or attended 3 Year Old Kindergarten in the year prior?

Other Information

Maternal Child Health Details

  • Maternal & Child Health Details

  • Has the child had their 2 year old Maternal Child Health Key Age and Stage Visit?
  • Has the child had their 3 1/2 year old Maternal Child Health Key Age and Stage Visit?
  • Attended which Maternal & Child Health Centre:
  • Immunisation Details

  • Court Orders

  • Are there any court orders relating to your child?
  • Additional comments to support your application

Documents for Proof

Each document supplied must be in JPG or PDF format and no larger than 2MB in size.

  • Proof of Age:
  • Proof of Immunisation:
  • Proof of Concession Card:
  • Priority Supporting Documentation - Court Order:

Privacy Statement and Agreement

  • Privacy and Confidentiality Statement

Credit Card Payment

  • Payment secured by SecurePay

    Registration fee to be paid: $30.00

    Name
    Card Number
    CVV
    Card Expiry

Tick this box if you would like to register this child for Kindergarten after submitting this application.Tick this box if you would like to register another child after submitting this application