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Enrol and get 4 weeks FREE

Valued up to $3,000

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Montessori Home Early Learning Shepparton logoMontessori HomeEarly Learning Shepparton

Enrol / book a tour

Come and see the centre for yourself

We warmly encourage families to visit, talk with our educators and experience the difference in person.

Limited enrolment offer

Enrol and get 4 weeks FREE

Valued up to $3,000

New enrolments receive four weeks free — a saving valued up to $3,000. Limited places available across all rooms.

Terms and conditions apply. Please contact the centre for full offer details and eligibility.

Claim this offer

Enrolment application

Complete the centre enrolment form below. Your application is stored securely with the centre and reviewed by staff. Card numbers, CVV and bank account details are not collected here.

Child's Details

Education and Care Services National Regulations - Regulation 160 (3a, e)

Gender
Days of Attendance

Primary Parent/Guardian

Education and Care Services National Regulations - Regulation 160 (3b(i))

Country of Birth

Secondary Parent/Guardian

Education and Care Services National Regulations - Regulation 160 (3)(b)(i)

Country of Birth

Cultural Consideration

Education and Care Services National Regulations - Regulation 160 (f, g, h)

Medical Information

Education and Care Services National Regulations - Regulation 160 (3a, i, j) & 162(b)

If yes to above, please provide a medical management plan, which the child's medical practitioner has prepared. The plan should include: • A photo of the child • If relevant, state what triggers the medical condition, allergy or anaphylaxis • First aid needed • Contact details of the doctor who signed the plan • When the Plan should be reviewed

Note: This can be uploaded at the end of this form.

Medical Acknowledgements

Medication must be in its original container with clear labels. • The label must contain the child's name. • Parents must provide verbal/written instructions from a medical practitioner. Education and Care Services National Regulations Regulation 95 — authorisation is required for all medication, including non-prescription items such as nappy cream.

Do you authorise the Nominated Supervisor or another educator at the Service to seek medical treatment from a registered medical practitioner, hospital or ambulance service?

Please Choose

Do you authorise the Nominated Supervisor or other educator at the Service to seek dental treatment from a registered dental practitioner or service in the event of an emergency?

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Do you authorise the Nominated Supervisor or other educator to transport the child in an ambulance in the event of an emergency?

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Do you authorise that if the Child is diagnosed with asthma or anaphylaxis and an emergency occurs, the Nominated Supervisor or other educators may administer emergency first aid without making contact. Educators will notify the child's parents and/or emergency services as soon as possible? (Education and Care Services National Regulations - Regulation 94)

Please Choose

Medical Condition and Illness

Does your child have Anaphylaxis?

Please Choose

1) Complete "Anaphylaxis Management, Risk Minimisation & Communication Plan - this is obtained from the service. 2) Complete an ASCIA Action Plan for Anaphylaxis Reactions form (Found at ASCIA www.allergy.org.au). Have the forms signed by your child's doctor.

Does the child have any allergies?

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1) Complete "Allergy Management, Risk Minimisation & Communication Plan - this is obtained from the service. 2) Complete an ASCIA Action Plan for Allergic Reactions form (Found at ASCIA - www.allergy.org.au). Have the forms signed by your child's doctor.

Does your child have Asthma?

Please Choose

1) Complete "Asthma Management, Risk Minimisation & Communication Plan - this is obtained from the service. 2) Complete an Asthma Australia Asthma Care Plan for Education and Care Service form (Found at Asthma Australia - www.asthmaaustralia.org.au). Have the forms signed by your child's doctor.

Does your child have another medical condition not listed above (for example diabetes, epilepsy, hearing loss, etc)?

Please Choose

1) Complete "Medical Management, Risk Minimisation & Communication Plan - this is obtained from the service. 2) If required have the forms completed and signed by your child's doctor. 3) Upload signed forms to our enrolment system section below - Medical Documents.

Does the Child Have Any Dietary Restrictions?

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In the event that any parent/guardian cannot be contacted, I give permission for a staff member at the service to administer paracetamol to my child in line with the Administration of First Aid and Medication Policy

Please Choose

Immunisation Details

I have chosen not to have my child immunised

Please Choose

Please note: Approved documentation must be provided before your child can attend. See Immunisation Policy.

Note: This can be uploaded at the end of this form.

Are Your Child's Immunisation Up To Date?

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Please provide a copy of your child's: Immunisation History Statement provided by Medicare.

Note: This can be uploaded at the end of this form.

Developmental Information

Is your child undertaking or have undergone assessment to support any particular developmental areas such as speech therapy, occupational therapy, Autism spectrum disorder?

Please attach supporting documents and provide us with any other information we should know about your child (For example, additional learning and support needs, information about the child's wellbeing, physical comfort or personal needs, favourite activities, fears, special words (please translate if applicable), toileting and sleeping practices etc.)

Family Information

Court Order

Education and Care Services National Regulations - Regulation 160 (3c, d)

Are there any court orders, parenting orders or parenting plans relating to the powers, duties and responsibilities or authorities of any person in relation to the child or access to the child?

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Are there any other court orders relating to the child's residence or the child's contact with a parent or other person?

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Please note: Without this documentation we cannot legally enforce the Order/s.

Note: This can be uploaded at the end of this form.

First Emergency Contact/Authorised Nominee

Education and Care Services National Regulations - Regulation 160 (3b, ii, iii, iv, v, vi) 161 (1a, i, ii, 1b)

An authorised nominee is an acknowledged person who, with the parents/guardian's authorisation, is allowed to give permission for the following: 1) Dropoff / collect the child if necessary (r160(3)(b)(iii) 2) Authorise the taking of the child outside the service by an educator of the service (r160(3)(b)(v), r161(1)(a)(ii), r161(1)(b) & r102) 3) To authorise the service to take the child on a regular outing (r161(1)(b) 4) Give consent to the medical treatment to the child (r160(3)(b)(iv)) r161(1) 5) Request or permit the administration of medication or authorises administration of medication or medical treatment to the child (r160(3)(b)(iv), r161(1)(a); 6) Consent to the transportation of the child by an ambulance service? (r161(1)(a)(ii)

Can this person be contacted to give consent for educators to transport the child or arrange transportation of the child?

Please Choose

Can this person be contacted to give consent for medical treatment or to authorise for a Nominated Supervisor or educator to administer medication to the child in the event that you cannot be contacted?

Please Choose

Can this person be contacted to give consent for educators to take the child outside the Service’s premises in the event that you cannot be contacted?

Please Choose

Can this person be contacted to give consent to the transportation of the child by an ambulance service?

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Can this person give authorisation for the Service to take the child on regular outings?

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This person can be contacted and notified of an emergency involving the child if any parent or carer cannot be immediately contacted?

Please Choose

This person has been given permission by parent or carer to drop-off and collect the child from the service

Please Choose

Second Emergency Contact

Education and Care Services National Regulations - Regulation 160 (3b, ii, iii, iv, v, vi) 161 (1a, i, ii, 1b)

(Please obtain the person’s consent before listing them as an emergency contact)

An authorised nominee is an acknowledged person who, with the parents/guardian's authorisation, is allowed to give permission for the following: 1) Dropoff / collect the child if necessary (r160(3)(b)(iii) 2) Authorise the taking of the child outside the service by an educator of the service (r160(3)(b)(v), r161(1)(a)(ii), r161(1)(b) & r102) 3) To authorise the service to take the child on a regular outing (r161(1)(b) 4) Give consent to the medical treatment to the child (r160(3)(b)(iv)) r161(1) 5) Request or permit the administration of medication or authorises administration of medication or medical treatment to the child (r160(3)(b)(iv), r161(1)(a); 6) Consent to the transportation of the child by an ambulance service? (r161(1)(a)(ii)

Can this person be contacted to give consent for educators to transport the child or arrange transportation of the child?

Please Choose

Can this person be contacted to give consent for medical treatment or to authorise for a Nominated Supervisor or educator to administer medication to the child in the event that you cannot be contacted?

Please Choose

Can this person be contacted to give consent for educators to take the child outside the Service’s premises in the event that you cannot be contacted?

Please Choose

Can this person be contacted to give consent to the transportation of the child by an ambulance service?

Please Choose

Can this person give authorisation for the Service to take the child on regular outings?

Please Choose

This person can be contacted and notified of an emergency involving the child if any parent or carer cannot be immediately contacted?

Please Choose

This person has been given permission by parent or carer to drop-off and collect the child from the service

Please Choose

Child Care Subsidy (CCS) Eligibility

Child Care Subsidy will be paid directly to the Service to reduce the fees families pay. To claim Child Care Subsidy (CCS) Families must meet eligibility requirements which include:

You and/or your partner must care for your child at least 2 nights per fortnight or have 14% care?

Please Choose

Are you liable for fees for care provided at an approved child care service?

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Do you meet residency requirements?

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Does your child meet the immunisation requirements?

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Have you completed the Child Care Subsidy assessment on the myGov website?

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Have you received confirmation about your Child Care Subsidy?

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Please Note: If you need assistance with filling out this form please speak to the Director who will be happy to help. Please ensure that if any details change, you notify the Service immediately.

Enrolment Agreement

PLEASE READ THE FOLLOWING AGREEMENT CAREFULLY BEFORE SIGNING. PLEASE ASK IF THERE IS ANYTHING IN THIS DOCUMENT THAT YOU ARE UNSURE OF

Please tick the following items to authorise:

I/We give permission for this child to: Participate in outings to places of interest (permission slip will have to be signed before allowing your child to leave the Service)

Please Choose

Have SPF50+ sunscreen applied prior to sun exposure (If not, please provide a letter releasing the Service of any Liability)

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Have Band-Aids or sticking plasters applied when necessary

Please Choose

Have staff apply Nappy Cream/Paste (supplied by parents)

Please Choose

Have staff apply Teething Gel (supplied by parents)

Please Choose

Have staff apply Insect Repellent (supplied by parents)

Please Choose

For photos and video footage to be taken of my/our child for Service use and staff training purposes (Footage will not leave the Service)

Please Choose

For photos and video footage of my/our child to be used in Learning Stories, and to be shared with other families that attend the Service

Please Choose

For photos and video footage of my/our child to be used for student training purposes (Photos and video footage may leave the Service for students to present to lecturer and class for viewing and marking)

Please Choose

For photos and video footage of my/our child to be used on Service website, social media and other internet purposes, such as advertisement and used in organisation's resources

Please Choose

Do you ONLY give permission for photos and video footage of your child to be taken for your own personal viewing and to receive copies

Please Choose

Attached Documents

Drop files here or click to upload. (Wait for files to be uploaded before submitting)

How did you hear about us?

Confirmation & Signature

Direct Debit Details

Please select the Payment Method
Preferred Billing Day
Frequency

Secure payment integration point: Card numbers, CVV, BSB and bank account numbers are not collected on this form and are not stored in our database. A secure payment provider / tokenisation integration is required before Direct Debit credentials can be taken. Selecting a payment method records your billing preference and authorisation only.

Please read the Direct Debit Service Agreement below to acknowledge your obligations before proceeding.

Cloud Payments (ACN 154 014 785, APCA User ID Number 502574) has been contracted by OWNA Corp Pty Ltd to collect instalments. Definitions account: means the account held at your financial institution from which we are authorised to arrange for funds to be debited. agreement: means this Direct Debit Request Service Agreement between you and us. banking day: means a day other than a Saturday or a Sunday or a public holiday listed throughout Australia. debit day: means the day that payment by you to us is due. debit payment: means a particular transaction where a debit is made. direct debit request: means the Direct Debit Request between us and you. us or we: means OWNA Corp Pty Ltd, (the Debit User) you have authorised by requesting a Direct Debit Request. you: means the customer who has signed or authorised by other means the Direct Debit Request. your financial institution: means the financial institution nominated by you on the DDR at which the account is maintained. Debiting your account Funds may be debited from your account as authorised in the Direct Debit Request. If the debit day falls on a day that is not a banking day, the debit may be arranged on the following banking day. Amendments by us The provider may vary this agreement with fourteen (14) days written notice. Amendments by you You may change or terminate the arrangement with 14 days notice via support@owna.com.au or through your financial institution. Your obligations 1. It is your responsibility to ensure that there are sufficient clear funds available in the account. 2. If there are insufficient clear funds you may be charged fees or interest and you must arrange an alternative payment. 3. You should check your account statement to verify that the amounts debited from your account are correct. Dispute 1. Notify support@owna.com.au or (02) 8417 5022 if you believe there has been an error. 2. If an error is confirmed, a financial adjustment and written notification will be arranged. 3. If no error is found, a written explanation will be provided. Accounts You should check: (a) whether direct debiting is available on your account; (b) that the account details you would provide to a payment provider are correct against a recent statement; and (c) any queries with your financial institution before completing a Direct Debit Request. Confidentiality 1. Account details and personal information will be kept secure and protected from unauthorised access. 2. Disclosure is only as required by law or for purposes related to the agreement or claims. Notice 1. Notices to the provider should be sent to support@owna.com.au. 2. Notices to you will be sent by ordinary post to the address provided in the request. 3. A notice is deemed received on the third banking day after posting. OWNA Corp Pty Ltd Suite A31E Level 3 24-32 Lexington Drive, Bella Vista NSW 2153 Phone: (02) 8417 5022 Email: support@owna.com.au We do our utmost to make sure your data is fully safe and secure and adhere to all the PCI DSS Compliance requirements.

We acknowledge and respect the privacy of our clients. By completing this form, you have consented to this information being collected. You have the right to access and alter personal information concerning yourself or your child in accordance with the Privacy Act 1988 and our Privacy and Confidentiality Policy.

Book a tour or ask a question

Tell us a little about your family and we'll be in touch to arrange a time to walk through the centre together.

Book a tour — pick a date and time

Choose a preferred slot and we'll confirm it with you. Tours take about 30 minutes.

Integration placeholder: this form is sent to the centre. It can also be connected directly to OWNA or another enquiry system once the centre confirms the preferred destination.

Ready to enrol? Open the OWNA enrolment form

What happens on a tour

  1. Meet the educators who would care for your child.
  2. Walk through the room that matches your child's age.
  3. See the Montessori materials and outdoor spaces in use.
  4. Ask about days, routines, settling in and next steps.
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