This is an application form only and does not guarantee a preschool placement. This form must be completed by a parent or guardian who has lawful authority in relation to the child.
* Denotes the field is mandatory
Postal address (if different from above)
Parent 2 Details are Unknown
Early Start Kindergarten or Access to Early Learning
Child and family services referral agencies and support team or Child FIRST
Parent/guardian written confirmation of eligibility
Name of the person who the order is relating to
Tick this box if you would like to register another child after submitting this application
Please make sure all fields are completed before clicking the Submit Registration button.