2019 Enrolment Information

TO BE COMPLETED BY CONFIRMED ENROLLMENTS ONLY

In addition to the mandatory 'Blue' Enrolment Form, Diamond Hills Preschool also requires all families to complete a number of acknowledgement and consent forms. Some of these may include information or documents that you also include in your 'Blue' Form

Before completing this form please ensure you have access to relevant PDF format files including

Immunisation History Statement – Date of Issue must be no older that 1 week from current date - All Enrollments
Birth Certificate - All Enrollments
Medical Management Plan - If Applicable

For more details please see the relevant section of this form

Please read through the included information. Full copies of all policies is available on request via email to vice.pres.dhps@kindergarten.vic.gov.au

Please complete this online form by FRIDAY 16th NOVEMBER.

Please also completed and return the HARD COPY 'Blue' Enrolment Form, a SIGNED HARD COPY of the Families Code Of Conduct (signed by all families members/friends who regularly drop off or pick up your child from Preschool) that have been posted & emailed to each family and include a HARD COPY of your child’s Australian Immunisation Record at the AGM on Tuesday 27th November 2018. If you have not received your hard copy forms in the post please contact us via email enrol.dhps@kindergarten.vic.gov.au .

By completing and submitting the form below you are agreeing to our Privacy & Confidentiality Policy as summarised below. We believe your privacy is important.
Diamond Hills Preschool has developed a Privacy and Confidentiality Policy that illustrates how we collect, use, disclose, manage and transfer personal information, including health information. This policy is available on request.
To ensure ongoing funding and licensing, our service is required to comply with the requirements of privacy legislation in relation to the collection and use of personal information. If we need to collect health information, our procedures are subject to the Health Records Act 2001.
Purpose for which information is collected
The reasons for which we generally collect personal information are given in the table below.

Personal information and health information collected in relation to:

Primary purpose for which information will be used:

Children and parents/guardians

To enable us to provide for the education and care of the child attending the service
To manage and administer the service as required

The Approved Provider if an individual, or members of the Committee of Management/Board if the Approved Provider is an organisation

For the management of the service
To comply with relevant legislation requirements

Job applicants, employees, contractors, volunteers and students

To assess and (if necessary) to engage employees, contractors, volunteers or students
To administer the individual’s employment, contracts or placement of students and volunteers

Please note that under relevant privacy legislation, other uses and disclosures of personal information may be permitted, as set out in that legislation.
Disclosure of personal information, including health information
Some personal information, including health information, held about an individual may be disclosed to:
·    government departments or agencies, as part of our legal and funding obligations
·    local government authorities, for planning purposes
·    organisations providing services related to employee entitlements and employment
·    insurance providers, in relation to specific claims or for obtaining cover
·    law enforcement agencies
·    health organisations and/or families in circumstances where the person requires urgent medical assistance and is incapable of giving permission
·    anyone to whom the individual authorises us to disclose information.
Laws that require us to collect specific information
The Education and Care Services National Law Act 2010 and the Education and Care Services National Regulations 2011, Associations Incorporation Act 1981 and employment-related laws and agreements require us to collect specific information about individuals from time-to-time. Failure to provide the required information could affect:
·    a child’s enrolment at the service
·    a person’s employment with the service
·    the ability to function as an incorporated association.
Access to information
Individuals about whom we hold personal or health information are able to gain access to this information in accordance with applicable legislation. The procedure for doing this is set out in our Privacy and Confidentiality Policy, which is available on request.
For information on the Privacy and Confidentiality Policy, please refer to the copy available at the service or contact the Approved Provider/Nominated Supervisor.

General Enrolment Details - 2019

Child's Details

* Indicates required field

Child's Given Name *

First

Last

Child's Preferred Name (If different to Given Name) *

Child's Date Of Birth (DD/MM/YY) *

Birth Certificate - Upload File *

Max file size: 20MB

Address *

Line 1

Line 2

City

State

Zip Code

Country

2019 Enrolment Type *

Parent Details

Please note that Parent 1 details must be completed in full including a current email address as email is our primary form of communication. By including your email address you are also consenting to Diamond Hills Preschool staff and Committee of Management contacting you via email in regards to Preschool matters. Parent 2 details are optional, though strongly recommended.

Name - Parent 1 *

First

Last

Mobile Number - Parent 1 *

Email - Parent 1 *

Occupation - Parent 1 *

Group Friendship/Contact List - Parent 1 *

I agree to my first name, email address & mobile number being listed on my child’s group friendship list. I do not want my email address & mobile number included on my child's group friendship list.

Name - Parent 2 *

First

Last

Email - Parent 2 *

Phone Number - Parent 2 *

Occupation - Parent 2 *

Group Friendship/Contact List - Parent 2 *

Medical & Emergency Contact Information

Medical Attention Authority *

I DO give permission for a staff member to authorise any medical attention that may be deemed necessary, including the calling of an ambulance I DO NOT give permission for a staff member to authorise any medical attention that may be deemed necessary, including the calling of an ambulance

Alternative Emergency Contact (Not Parents)

Name - Emergency Contact 1 *

First

Last

Phone Number - Emergency Contact 1 *

Name - Emergency Contact 2 *

First

Last

Phone Number - Emergency Contact 2 *

Doctor

Name - GP *

First

Last

Name - GP Practice *

Address - GP Practice *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number - GP Practice *

My child has an allergy or medical condition/conditions *

Yes - Please include details below and complete permission section No

Allergy or medical condition/conditions details if applicable *

Please also upload a copy of any medical management plans if applicable – Please note that ASCIA plans are preferred and can be found here, https://www.allergy.org.au/hp/ascia-plans-action-and-treatment

Medical Plan - File Upload *

Max file size: 20MB

Display Of Medical Plan Permission *

I give permission for the attached medical plan/plans to be displayed at Diamond Hills Preschool in any areas that the staff deem relevant. Please note that a current photograph of your child will be attached. I DO NOT give permission for the attached medical plan/plans to be displayed at Diamond Hills Preschool in any areas that the staff deem relevant.

My Child has dietary restrictions *

Yes - Please include details below and complete permission section No

Dietary restriction details if applicable *

Display of Dietary Restriction Permission *

I give permission for my child's dietary restrictions to be displayed at Diamond Hills Preschool in any areas that the staff deem relevant. Please note that a current photograph of your child will be attached. I DO NOT give permission for my child's dietary restrictions to be displayed at Diamond Hills Preschool in any areas that the staff deem relevant.

My Child has other specific heathcare needs *

Yes - Please include details below and complete permission section No

Specific heathcare needs details if applicable *

Specific Healthcare Needs Permission *

I give permission for my child's specific healthcare needs to be displayed at Diamond Hills Preschool in any areas that the staff deem relevant. Please note that a current photograph of your child will be attached. I DO NOT give permission for my child's specific healthcare needs to be displayed at Diamond Hills Preschool in any areas that the staff deem relevant.

No Jab No Play

Our service is required to keep evidence showing your child is up to date with immunisations.
Please provide us with an Immunisation History Statement from the Australian Immunisation Register showing that your child is up to date with all immunisations as soon as possible. You can get an updated statement:

online – through MyGov <https://my.gov.au/LoginServices/main/login?execution=e1s1> once an account has been created
Medicare Express Plus App <https://www.humanservices.gov.au/customer/services/express-plus-mobile-apps–> once a MyGov account has been created
over the counter – at a Medicare Service Centre <http://findus.humanservices.gov.au/>
by phone – call the Australian Immunisation Register on 1800 653 809
by asking your GP/immunisation nurse if they can print the statement (note, not all immunisation providers can do this).

Copies of your child's Maternal Health Record are NOT VALID

Why do we need the latest evidence of immunisation?
In Victoria, the law requires early childhood services to take steps to make sure we have the latest immunisation information for enrolled children. In the unlikely event of an outbreak of a vaccine-preventable disease, we may need to work with health authorities to quickly identify who could be at risk and what actions or precautions need to be taken to best protect children’s’ health.

Please upload your child's Current Immunisation History Statement in PDF FORMAT ONLY – Date of Issue must be no older that 1 week from current date (located at top of document).

Immunisation History Statement - Upload File *

Max file size: 20MB

How to tell if you child is up to date
The ‘next vaccine due’ date on your current Immunisation History Statement from the Australian Immunisation Register needs to show a date in the future (or say ‘All vaccines complete’).
Vaccines are due at 2, 4, 6, 12 and 18 months of age and at 4 years of age on the National Immunisation Program Schedule or at a time advised by your immunisation provider, if your child is on a vaccine catch-up program.

Next vaccine due’ date on your current Immunisation History Statement (DD/MM/YY) *

General Health & Wellbeing

Sunscreen
During Periods of warm/hot weather and from the beginning of September until the end of April each year, it is preferred that children come to Diamond Hills Preschool with sunscreen already applied. In the event that this has not occurred, we require permission for staff to apply sunscreen to your child. Please Note: If your child is allergic to particular sunscreens, you will need to provide the appropriate brand, clearly labelled with your child’s name and group, to be left at the Preschool.

Sunscreen Permission *

I give permission for the staff at Diamond Hills Preschool to apply, as appropriate, SPF 30+ broad spectrum sunscreen to all exposed body parts of my child. - Sunscreen provided by Diamond Hills Preschool I give permission for the staff at Diamond Hills Preschool to apply, as appropriate, SPF 30+ broad spectrum sunscreen to all exposed body parts of my child. - Sunscreen provided by child’s family and left at the Centre (Please ensure it is clearly labelled with your child’s name and group)

Headlice
In the event of a possible infestation of head lice while your child is attending Diamond Hills Preschool, we may need to check your child’s scalp and hair for signs of eggs or lice. You will be informed if any evidence is found.

Headlice Check Authority *

I give permission for the staff at Diamond Hills Preschool to check my child’s hair and scalp for signs of head lice/eggs. I DO NOT give permission for the staff at Diamond Hills Preschool to check my child’s hair and scalp for signs of head lice/eggs.

Illness Exclusion
In the event of illness, under the Public Health and Wellbeing Regulations 2009 (regulation 85) statutory ruling, it is required that children must not attend during the following minimum exclusion periods as per schedule 7 below. It is also required that if your child, or if applicable a family member, has any of these illness’s that your child’s teacher is notified as soon as practicable by phone or in writing, either via the absence form on our website or via email. All reported illness will be displayed at the main entrance of the Preschool in accordance with our Dealing With Infectious Diseases Policy. Some of the more common illnesses on this list include but are not limited to Conjunctivitis, Diarrhoea, Herpes (cold sores), Influenza and influenza-like illnesses, Ringworm, Pediculosis (head lice), Worms (intestinal).

You can view and download Schedule 7 here also

Illness Exclusion *

I have read and understand the illness exclusion period and will notify my child’s teacher of any illnesses as listed in Schedule 7 of the Public Health and Wellbeing Regulations 2009 (regulation 85). I also agree that if my child is unwell I will not knowingly send them to Preschool

Regular Outing Authority

As part of our Policies and Procedures, Diamond Hills has an Emergency Management Plan. The plan describes Diamond Hills Preschool, its environment, the potential hazards and the manner in which the emergencies will be managed. This document assumes the staff will be familiar with its contents and that the Emergency Plan will be tested regularly to ensure all staff understand the procedures to be adopted in an emergency.

It is with this in mind that the Staff is seeking your permission, to allow your child to be able to participate in our emergency evacuation practice(s) on a regular basis. The practices will occur at least every 3 months or, more often if the staff determines that this is necessary.
The staff also at this time are requesting to use this authorisation where we may also leave the Preschool to access the car park or surrounding neighbourhood (within 1km radius) for educational purposes. (A separate Risk Management Plan will be provided at this time.)
You will be notified on the day when the Emergency Management Plan has been or will be implemented and when we will be leaving the premises for educational purposes. This permission will only be utilised, when we put into practice, moving to our Emergency Assembly Points outside the Kindergarten secure area, these are- AA meeting point which is the reserve adjacent to the car park and AAA meeting point which is the grass area outside the rear gate of kinder (This gate is located to the right after exiting the rear od the preschool) or for learning purposes the surrounding area (within a 1 km radius) including the car park.

Please Note: There is an excursion Risk Management Plan in regards to the event of our Emergency Plan that you can view at the Preschool. At this stage we feel we have covered all risks, on the occasion of discovering more while implementing our evacuation plan the Risk Management Plan will be updated.

If you require further information in regards to our Emergency Evacuation Procedures please read our Emergency Evacuation Plan which is situated at all exits of the Preschool and/or the Emergency Management Document.

Regular Outing Authority *

I give permission for my child (as name above) to participate in an Emergency Management Plan exercise or to visit the surrounding area for educational purposes whenever the Staff of Diamond Hills Preschool deems it necessary. I also understand that the staff will notify me when a practice or a need to leave the kinder perimeter is planned, has occurred or in some instances may have occurred during the session. I also understand that when an emergency evacuation or utilising the surrounding area for educational purposes is practiced that there will be in attendance the correct number of staff to meet adult:child ratio and on the occasion that we have any volunteers at the time of leaving the premises, they will also be included. I also understand that a separate Risk Management Plan will be provided if the children are leaving the premises for Educational purposes.

Photographs & Filming

As part of our day to day Preschool program and the planning, reflection and communication with Preschool families, and to assist in meeting National Quality Standards, photographs and short videos are taken during most sessions. As part of your child’s Preschool portfolio you will receive a digital copy of your child’s photos at the end of the kinder year. These photographs may also be included in your child’s regular class report. We ask that parents DO NOT share these photos on social media/websites etc, if they contain any person other than your child. From time to time we do post promotional photos on our public facebook page or website. Care is always taken in selection of which photos are appropriate for this purpose. In the instance that a specific publicity photographs or video are going to be taken you will be provided with further details and separate consent options prior to the day. I give permission for my child’s photograph to be used in class reports.

Class Reports Permission *

I give persmission for my child’s photographs and/or video be used in class reports including kinderloop communications. I DO NOT give persmission for my child’s photographs and/or video be used in class reports including kinderloop communications.

Website & Social Media Permission *

I give permission for my child’s photograph to be used on the Diamond Hills Preschool public social media page or website. I DO NOT give permission for my child’s photograph to be used on the Diamond Hills Preschool public social media page or website.

Completion Information

This Form Has Been Completed By - Name *

First

Last

Completed On (DD/MM/YY) *

Submit