Kindergarten Enrolment Application

Step 1 of 10

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Entry ID
Information About Your Child
First Name*
Middle Name
Surname*
Date of Birth*
Gender*
- Male
- Female
Country of Birth*
Address*
Street Address Suburb State Postcode
Indigenous Status*
Nationality
Does your child speak other language at home?*
- Yes
- No
Please state the language/s
Is the applicant a fostered child?*
- Yes
- No
Is the foster parent a legal guardian?*
- Yes
- No
Please upload the Authority to Care letter
Drop files here or
Who is the legal guardian?*
Religion
Preference of Session*
- Flexi - Runs 48 weeks per year. Core Kindergarten Program runs 8:15-2:30. Before and After Kindy Care from 7:30am-6pm. 10.5 hours will be charged per day for Centrelink purposes. Please contact Centrelink if you are unsure how many hours you are eligible to claim under the Child Care Subsidy. Up to 5 days per week (3 days minimum)
- Group 1 - Monday, Tuesday, alternate Wednesday
  (10 weeks per school term 8:15 - 2:30)
- Group 2 - Thursday, Friday, alternate Wednesday
  (10 weeks per school term 8:15 - 2:30)
Flexi Days Preferred
Can attend up to 5 days per week. Minimum 3 days.
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
Are you flexible with your class selection?*
- Yes
- No
Will your child be attending another Kindergarten Program at the same time as attending Westside Christian College Kindergarten?*
- Yes
- No
Would you like Westside Christian College Kindergarten to claim the Kindergarten funding?
- Yes
- No
Would you like to be considered for Prep at Westside Christian College?*
- Yes
- No
You are not required to complete a Prep enrolment application.
Please upload a copy of the child's birth certificate
Drop files here or
Medicare Number*
Medicare Reference Number*
Expiry Date*
Medical Practitioner
Medical Practice*
Phone*
Practice Address*
Street Address City State Postal Code
Does your child have a Health Care Card*
- Yes
- No
Please provide a copy
Drop files here or
Child's Centrelink Customer Reference Number (CRN)

Parent/Guardian Information
If both Parents/Guardians are responsible for the enrolment of the child/children they must both be entered on this application.
1st Parent / Guardian
This is the parent eligible to claim CCS. Please state this person’s CRN number below
Title
Firstname*
Surname*
Relationship to the Child
- Mother
- Father
- Step Parent
- Guardian
Date of Birth*
Do you reside with the child*
- Yes
- No
Address*
Same as child

Street Address City State Postcode
Mobile*
Home Phone
Work Phone
Email*
Enter Email Confirm Email

Please ensure your email is correct as we will send a confirmation message to you once you've finished.
Parent's Centrelink Customer Reference Number (CRN)
Cultural Background / Place of Birth*
Language/s Spoken
Indigenous Status*
Religion
School Education*
Non-School Education*
Workplace*
Occupation*
Occupational Group*
- Group 1
  School Principal, Accountant, Lawyer, Archaeologist, Auditor, Doctor, Physiotherapist, Solicitor, Senior executive of a large organisation, Vet.
- Group 2
  Actor, Administration Manager, Bank Manager, Draftsperson, Engineer, Financial Advisor, Nurse, Professional Musician, Surveyor, Systems Engineer, Teacher.
- Group 3
  Accounts Clerk, Administration Officer, Auctioneer, Boilermaker, Builder, Business Owner, Carpenter, Chef, Consultant, Costume Maker, Crane Operator, Customs Officer, Electrician, Golfer, Graphic Designer, IT Manager, Liaison Officer, Manager, Minister, Missionary, Operation Assistant, Parts Interpretor, Pastor, Police Officer, Postal Worker, Printer, Defence Force, Sales Consultant, Sales Manager, Self Employed, Technician, Treasury Dealer.
- Group 4
  Bus Driver, Cashier, Checkout Operator, Child Care, Cleaner, Clerk, Dental Assistant, Family Day Care, Labourer, Meat Processor, Miner, Office Assistant, Purchasing Officer, Retailer, Security Officer, Shop Assistant, Sign Manufacturer, Storeman Teachers Aide, Transport, Truck Driver, Truckshop Convenor, Tutor, Youth Worker.
- Group 8
  Not in paid work in last 12 months.
- Group 9
  Not stated or unknown.
Will you be responsible for payment of accounts*
- Yes
- No
2nd Parent / Guardian
Title
Firstname
Surname
Relationship to the Child
- Mother
- Father
- Step Parent
- Guardian
Date of Birth
Do you reside with the child
- Yes
- No
Address
Same as child

Street Address City State Postcode
Mobile
Home Phone
Work Phone
Email
Enter Email Confirm Email

Please ensure your email is correct as we will send a confirmation message to you once you've finished.
Cultural Background / Place of Birth
Language/s Spoken
Indigenous Status
Religion
School Education
Non-School Education
Workplace
Occupation
Occupational Group
- Group 1
  School Principal, Accountant, Lawyer, Archaeologist, Auditor, Doctor, Physiotherapist, Solicitor, Senior executive of a large organisation, Vet.
- Group 2
  Actor, Administration Manager, Bank Manager, Draftsperson, Engineer, Financial Advisor, Nurse, Professional Musician, Surveyor, Systems Engineer, Teacher.
- Group 3
  Accounts Clerk, Administration Officer, Auctioneer, Boilermaker, Builder, Business Owner, Carpenter, Chef, Consultant, Costume Maker, Crane Operator, Customs Officer, Electrician, Golfer, Graphic Designer, IT Manager, Liaison Officer, Manager, Minister, Missionary, Operation Assistant, Parts Interpretor, Pastor, Police Officer, Postal Worker, Printer, Defence Force, Sales Consultant, Sales Manager, Self Employed, Technician, Treasury Dealer.
- Group 4
  Bus Driver, Cashier, Checkout Operator, Child Care, Cleaner, Clerk, Dental Assistant, Family Day Care, Labourer, Meat Processor, Miner, Office Assistant, Purchasing Officer, Retailer, Security Officer, Shop Assistant, Sign Manufacturer, Storeman Teachers Aide, Transport, Truck Driver, Truckshop Convenor, Tutor, Youth Worker.
- Group 8
  Not in paid work in last 12 months.
- Group 9
  Not stated or unknown.
Will you be responsible for payment of accounts
- Yes
- No

Additional Family Information
Current Status of Birth Parents
- Married
- Divorced
- Separated
- Defacto
- Single
- Widowed
Other Children in the family
Name Age School Attending
Please briefly state why you are interested in applying at Westside Christian College Kindergarten

Parenting Arrangements and Court Orders
This enrolment record must include details of any court orders, parenting orders or parenting plans in relation to the child or access to the child. A parent includes a guardian of a child or a person who has parental responsibility for a child under a decision or order of a court. Any changes to a court order, parenting order or parenting plan must be provided to the Kindergarten as soon as possible.
Is there a Court Order or Parenting Plan relating to your child?*
- Yes
- No
Is your child named on a Protection Order?*
- Yes
- No
Is there anybody who is legally denied access to your child?*
- Yes
- No
If you have answered Yes to any of the above questions you will need to provide a copy of the specific legal documentation to Westside Christian College Kindergarten Staff.

Healthcare Needs and Special Considerations
Is your child at risk of Anaphylaxis?*
- Yes
- No
Does your child have an Anaphylaxis plan in place?*
- Yes
- No
Please provide a copy of this plan
Drop files here or
Does your child have asthma?*
- Yes
- No
Does your child have an asthma management plan in place?*
- Yes
- No
Please provide a copy of this plan
Drop files here or
Does your child take medication regularly?*
- Yes
- No
Please provide details*
Does your child have a medical condition that may impact their time at kindy?*
- Yes
- No
Please provide details*
Does your child have a Medical Management Plan in place?*
- Yes
- No
Please provide a copy of this plan
Drop files here or
Is your child Immunised?*
- Yes
- No
In complying with the Department of Early childhood regulations, we are now no longer able to accept a photocopy of your child’s immunisations from their Health Record book.
Please provide a copy of their immunisation records
Drop files here or
Does your child have any dietary restrictions?*
- Yes
- No
Please provide details*
Does your child have any special needs or a diagnosed disability?*
- Yes
- No
Please provide details*
Is your child accessing specialist support or Allied Health Services?*
- Yes
- No
Please provide details of services being accessed (ie Paediatrician, Occupational Therapy, Speech pathology)*
Please include all relevant reports from specialists
Drop files here or
Does your child require support with self-care skills?*
- Yes
- No
Does your child require support with interpersonal relationships?*
- Yes
- No
Does your child need any extra support with mobility?*
- Yes
- No
Does your child require any assistance with communication?*
- Yes
- No
Does your child require additional learning support?*
- Yes
- No
Does your child have difficulty managing emotions?*
- Yes
- No
Does your child have additional support needs that are not mentioned above?*
- Yes
- No
Please provide details*

Cultural Background
We would like to know more about your family. Are there any traditions, religious or cultural practices that your family observes? Are there particular traditions or celebrations that hold special significance to your child?
Expectations
Please outline your expectations of your child’s time at kindy?
Family Participation
Please indicate any areas in the kindergarten where family members may be able to offer assistance or wish to participate in.

Emergency Contacts and Authorised Nominees
In accordance with government regulations, parents and guardians are required to nominate emergency contacts and authorised nominees other than themselves to carry out the following responsibilities for their child.

Emergency Contact: A person notified in the case of an emergency where the parents cannot be contacted.

Authorised Collection Nominee: A person who has been given permission by the parent to drop off or collect the child from Westside Christian College Kindergarten. An email address needs to be supplied for this person. For identification purposes, a driver's licence may be required to be shown at pick up.

Authorised Medical Nominee: A person who is authorised for the administration of medications or to consent to medical treatment for the child.

Authorised Excursion Nominee: A person who is authorised to accompany the child outside the service premises.
Emergency Contact / Authorised Nominee 1
Name*
Relationship to child*
Address*
Street Address City State Postcode
Phone*
Email
This email address must be different to the parents' email addresses. An email address needs to be supplied to allow someone to be the Authorised Collection Nominee. Each emergency contact needs to have a unique email address. For example, two emergency contacts cannot share the same email address.
*
- Emergency Contact
- Authorised Medical Nominee
- Authorised Collection Nominee
- Authorised Excursion Nominee
Emergency Contact / Authorised Nominee 2
Name
Relationship to child
Address
Street Address City State Postcode
Phone
Email
- Emergency Contact
- Authorised Medical Nominee
- Authorised Collection Nominee
- Authorised Excursion Nominee
Emergency Contact / Authorised Nominee 3
Name
Relationship to child
Address
Street Address City State Postcode
Phone
Email
- Emergency Contact
- Authorised Medical Nominee
- Authorised Collection Nominee
- Authorised Excursion Nominee

Permissions and Consents
Medical Consent
*
- I / We understand that every effort will be made to contact me/us in the event of an emergency.
*
- I / We authorise the nominated supervisor or educator to provide any required first aid and to facilitate medical attention should this be required in the event of an emergency at the kindergarten or whilst on an excursion off site. I/We give permission for Kindergarten staff to facilitate ambulance, medical or hospital services in the event of an emergency or accident involving my/our child. I /We accept and take responsibility for any costs associated with obtaining these services and/or any subsequent treatments.
Permission to apply sunscreen and Insect repellent
- I/We give permission for my child to apply/have insect repellent applied for them as supplied by this Kindergarten
My child has allergies that prevent the use of Kindergarten insect repellent so I will supply an alternative*
- Yes
- No
- I/We give permission for my child to apply/have sunscreen applied for them as supplied by this Kindergarten
My child has allergies that prevent the use of Kindergarten sunscreen so I will supply an alternative*
- Yes
- No
Permission to administer Paracetamol

Westside Christian College Kindergarten’s Administration of Medication Policy, states the following:
- Paracetamol is not to be used as a first aid or emergency treatment. If, however, a child develops a fever of 38°C or higher whilst at the Service, and parents/guardians have provided written authorisation on the child’s enrolment form, paracetamol may be administered to reduce fever and/or pain.
- Parents/guardians will be notified immediately and asked to organise collection of the child as soon as possible [usually within 30 minutes].
- Only one dose of paracetamol will be administered. Before administering paracetamol, staff must check that the child has NOT been administered any paracetamol or medicine containing paracetamol in the previous four (4) hours.
- Educators will not administer any medication without the written authorisation of a parent or person with authority, except in the case of an emergency, verbal consent from an authorised person, a registered medical practitioner or medical emergency services will be acceptable if the parents cannot be contacted.
- The Kindergarten has purchased paracetamol (Children’s Panadol Colour Free) and will check the expiry dates regularly throughout the year.
I / We give permission for my child, in the instance I / we cannot be contacted to have one single dose of paracetamol administered by the Nominated Supervisor or a Responsible Person should his/her temperature reach 38°C or above.*
- Yes
- No
I / We understand that every effort will be made to contact me/us prior to this dose being administered to my/our child.*
- Yes
- No
- Alternatively, I wish to provide an alternative to the supplied paracetamol (please ensure that this has a doctor’s label with dosage instructions). I will bring this to Kindergarten on my child’s first day.
The name of this alternative is

Sharing information

As this Kindergarten is located on the campus of Westside Christian College a request may be made by the school to obtain postal or email contact details. This is for sharing enrolment information or promotional information.
- I give permission for Westside Christian College to request postal or email information.
Xplor Permission

The Kindergarten will be using Xplor software for accounts and billing & Xplor Playground for your child’s teacher to document learning stories throughout the year. This software will also be used to connect to Centrelink for the Child Care Subsidy (CCS) and to apply the State Government’s Free Kindy Funding program.

Xplor allows your child to have a secure private profile, which you can access at any time through Xplor Home on your device or web browser. You can set this up to receive a notification for when your child’s teacher adds new observations, photos or videos. You will also receive daily or weekly stories and updates about your child’s learning at Kindy from your child’s teacher.

Xplor allows you to sign your child in and out of Kindy electronically, through your device using the QR codes located at the Kindergarten.

We will provide more details about this software during your child’s orientation session and prior to your child starting Kindergarten next year.

You can also access Xplor directly via the website (www.ourxplor.com) to view security information and terms and conditions of using this App.

Please feel free to ask questions about Xplor to either your child’s teacher or at the Kindergarten Office at any time during the year.

I / We acknowledge and consent to the following:
*
- The Kindergarten will provide Xplor with information about my child (including Date of Birth, attendance and health) and my contact information for the purposes of creating a profile in Xplor and Xplor Playground.
*
- I am responsible for signing my child in and out via Xplor on my personal device.
*
- I understand and am aware that my child may be included in photographs/ videos that will be visible on the timelines of other children
*
- I understand and am aware that any photographs/videos from my child’s timeline that include other children are not permitted to be shared on any form of social media
Media Authorisation

Our Service has a responsibility to ensure we remain compliant with regulation requirements and Privacy Laws by obtaining written authorisation to capture, use, store and destroy images and videos of children.

Only authorised educators, staff and approved visitors are permitted to take images and videos of children whilst on our Service premises. Access to stored images and videos is restricted to authorised educators, staff or authorised officers (e.g. Department of Education Officer).

Children’s images and information may be included in media, such as photographs, video and audio, used to document children’s learning and share experiences with our broader community. Images and videos may be shared via our Service’s public website, newsletter, social media accounts on networks such as Facebook and Instagram, special events and online programming app Xplor. Our Service is committed to adhering to our Safe Use of Digital Technologies and Online Environments Policy and Privacy and Confidentiality Policy and ensure that identification of a child, where applicable, is by first name only.

This authorisation form is effective for the duration of your child’s enrolment at Kindergarten; however, authorisation may be withdrawn at any time with written notification. Digital data stored at the Service will be destroyed in accordance with the Record Keeping and Retention Policy and procedure.

Please note: Published information on public websites and social media can be accessed by third parties and be discoverable online for many years, if not permanently.
- I / We give permission for my child’s images and videos to be used internally for Kindergarten learning and documentation in accordance with the Safe Use of Digital Technologies Policy and Procedure in the online programming app Xplor, as well as hard copy learning journals created for each child and use around the classroom.
- I / We acknowledge this authorisation and have carefully considered all privacy implications on behalf of my child. I understand this authorisation may be revoked at any stage, provided for in writing.
By ticking the boxes below, you give permission for your child’s images and videos to be used and shared publicly.
- Westside Christian College’s public website
- Kindergarten newsletter and College’s Reflections
- The College’s Facebook account
Cyber Safety Authorisation

Our Service is committed to creating and maintaining a safe online environment with support and collaboration from staff, families and community. As a child safe organisation, our Service embeds the National Principles of Child Safe Organisations and aims to ensure children are safe in online environments.

Cyber Safety encompasses the protection of users of technologies that access the internet, and is relevant to electronic devices including, computers, iPad/tablet devices, mobile and smart phones and any other wireless technology devices.

Our Service has rigorous cyber safety practices, education programs and software programs in place. The Service uses a child safe search engine Kiddle to search for images or information with children. Privacy filters and parental control settings are turned on and used when children are accessing digital technologies online.
*
- I / We acknowledge this authorisation is effective for the duration of my child’s enrolment at the Service and upon authorsing, children will have access to the educational software programs. I / We understand this authorisation can be withdrawn at any time, provided for in writing.
Please select*
- I / We provide authorisation for my child to access online technology in accordance the Safe use of Digital Technologies and Online Environments Policy.
- I / We do not provide authorisation for my chid to access digital technologies and online environments.

Enrolment Agreement
By typing your full name below, you acknowledge that this serves as your electronic signature for the purposes of this application. A physical signature will be required at the time of your in‑person interview.

Please note that completing and submitting this application does not guarantee a kindergarten place. All enrolments remain subject to availability and are contingent upon a successful interview.
Full Name*
Date*

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General Enquiries

Ph: (07) 3437 9000
Email: reception@wcc.qld.edu.au

Postal Address

P.O. Box 282
Goodna QLD 4300

Secondary Campus

65 Stuart Street
Goodna QLD 4300

Primary Campus

110 Stuart Street
Goodna QLD 4300

Absentee Line

Ph: (07) 3437 9009

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Kindergarten Enrolment Application

Step 1 of 10

Information About Your Child

Parent/Guardian Information

1st Parent / Guardian

2nd Parent / Guardian

Additional Family Information

Parenting Arrangements and Court Orders

Healthcare Needs and Special Considerations

Cultural Background

Expectations

Family Participation

Emergency Contacts and Authorised Nominees

Emergency Contact / Authorised Nominee 1

Emergency Contact / Authorised Nominee 2

Emergency Contact / Authorised Nominee 3

Permissions and Consents

Medical Consent

Permission to apply sunscreen and Insect repellent

Permission to administer Paracetamol

Sharing information

Xplor Permission

Media Authorisation

Cyber Safety Authorisation

Enrolment Agreement