Child's Confidential Record

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You must complete this form for each child you are enrolling in kindergarten. The kindergarten must collect the information in this form to meet regulatory requirements.

If you need help completing this form, please contact us on 9705 5200.

What year is your child attending kindergarten? (required)

What is your child's kindergarten year? (required)

3 year old

4 year old

Name of kindergarten (required)

1. Child details

Given name(s) (required)

Surname (required)

Date of birth (required)

Gender (required)

Male

Female

Address

Language(s) spoken in your child's home (required)

What is your child's first language? (required)

Cultural background (if applicable)

Is your child of Aboriginal or Torres Strait Islander heritage? (required)

Yes, Aboriginal

Yes, Torres Strait Islander

Yes, both Aboriginal and Torres Strait Islander

Privacy statement

We will handle any personal information you provided in this form in accordance with the Privacy and Data Protection Act 2014. You can access your personal information by contacting our Privacy Officer on 9705 5200. For more information please see our Privacy Policy.