Child Details
If postal address is other than residential, please specify in comments.
Parent/Guardian 1 Information
Paent/Guardian 2 Information
Priority Access for Kindergarten
Immunisation Status
*As of January 2016, all children attending an Early Childhood Service must be fully immunised.
An immunisation history statement will need to be provided when enrolling your child.
Maternal & Child Health Details
Has your child attended their Maternal Child Health key age and stage assessment?
Prior Connection
Additional/Medical Needs
Declaration
The information contained in this registration for Horsham & District Kindergarten Association central enrolment system is true and correct.