Form questions
Childcare enrolment questions for early learning centres
Ask most of them, because enrolment is not the place to cut corners. Never skip the immunisation statement, allergies with any medical action plan, and the list of people authorised to collect the child. A centre missing any of the three cannot safely take the child into care on day one.
A childcare enrolment has to tell educators who the child is, what could make them unwell, and exactly who may take them home, before the first day of care. These questions gather the health records, days and pickup authorities a centre relies on at the gate, and keep each consent separate so a family can agree to one and decline another.
The questions
The child
Child's nameNameRequired
Date of birthDateRequired
Language spoken at homeShort text
Cultural or religious practices educators should know aboutLong text
Days and start
Requested start dateDate
Which days would you like?Rating gridRequired
Monday to Friday as rows; full day, morning and afternoon as columns; several ticks per row.
If those days are full, would you take others?Single choice
Yes, any days; yes, some days; no, join the waitlist.
Does the child attend another early learning service or kindergarten?Single choice
Health
Immunisation History StatementFile uploadRequired
Victoria's No Jab No Play law requires children to be up to date for their age to enrol; the status is at the top of the statement.
Allergies, anaphylaxis or asthmaSingle choiceRequired
None; allergy with no action plan; anaphylaxis, plan attached; asthma, plan attached.
Allergy and medical detailsLong text
What the child reacts to, what a reaction looks like, and where the medication is kept.
Medical action planFile upload
For anaphylaxis, the ASCIA Action Plan completed by the child's doctor.
Medicare number and the child's referenceShort text
Doctor and practiceShort text
Dietary requirementsLong text
Is the child toilet trained?Single choice
Yes, in nappies, learning.
Pickup and emergency
Parent or guardian 1 nameNameRequired
Parent or guardian 1 mobileShort textRequired
Parent or guardian 1 emailShort text
Short text, since the email component renders nothing on a published classic form.
Parent or guardian 2 name and detailsShort text
Authorised to collect, and emergency contactsTableRequired
Columns for name, relationship, phone and whether the person may collect.
Are there court orders that affect who may collect the child?Single choice
Copy of the court orderFile upload
Consents and subsidy
Have you applied for Child Care Subsidy?Single choice
Child's CRNShort text
Do you consent to emergency medical treatment, including ambulance transport?Single choiceRequired
Asked on its own, so declining photos or excursions never touches this answer.
Other consentsMultiple choice
Sunscreen, photographs for the learning record, excursions, sharing information with the child's school.
Parent or guardian signatureSignature
Which questions to make required
Nine questions are required: the child's name and date of birth, the days wanted, the immunisation statement, the allergy question, a parent's name and mobile, the authorised collection table and consent to emergency treatment. Each is something educators need at the gate or in an emergency. Cultural practices, routines, the second parent and subsidy details stay optional, because families can add them at orientation.
- Child's name
- Date of birth
- Which days would you like?
- Immunisation History Statement
- Allergies, anaphylaxis or asthma
- Parent or guardian 1 name
- Parent or guardian 1 mobile
- Authorised to collect, and emergency contacts
- Do you consent to emergency medical treatment, including ambulance transport?
The form built from these questions
A static copy of the finished form, from its own example page.
Three ways to change this bank
For a kindergarten or preschool program, replace the days grid with the program's fixed sessions and term dates, ask whether the family is claiming a funded place at another service, and add consent to share a transition statement with the child's school. For family day care, add the educator the family has chosen, whether the child is comfortable around the pets at the educator's home, and consent for the educator to drive the child on outings. For outside school hours care, add the child's school and year level, turn the days grid into before school, after school and vacation care, and ask for consent for the child to walk between the school gate and the program with staff.
Questions people ask
Why are the days wanted asked as a grid?
Because families rarely want whole weeks. A grid with weekdays as rows and full day, morning and afternoon as columns shows the exact pattern each family needs, and a director can compare it against room capacity at a glance. A follow up question about taking other days turns a full room into a waitlist conversation rather than a refusal.
How should enrolment handle a child with anaphylaxis?
Ask the allergy question as required, then collect the ASCIA Action Plan completed by the child's doctor and any medication details before the first day. ASCIA plans are the standard action plans used throughout Australia and New Zealand. The form starts the process, but most centres also meet the family to agree how the plan works in the room.
What if the family's immunisation statement shows the child is not up to date?
In Victoria, No Jab No Play requires children to be up to date for their age to enrol, with catch up schedules and medical exemptions handled through the child's GP and the immunisation register. Once an exemption is recorded, the parent gives the centre the updated statement to confirm enrolment. Other states have their own rules.
Should an enrolment form ask about court orders?
Yes, as a plain yes or no, with a place to attach a copy. Educators cannot enforce an order they have never seen, and the pickup table alone does not show who is legally restricted. Keep the question neutral in tone, since families with an order in place are often already under strain.
Who should see the answers once they arrive?
The director and the educators in the child's room, and only the parts they need. Health details, pickup authorities and consents go to the room; subsidy numbers and court orders stay with administration. Export only the columns each group needs, since the response export puts every question in its own column.
Should the form ask about cultural and religious practices?
Yes, as an optional open question. Food, rest, clothing, celebrations and the names a family uses at home all shape how a child settles, and educators would rather know on day one than learn by accident. Leaving it optional respects families who prefer to talk about it at orientation.
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