Kindergarten Withdrawal Form

Use this form to withdraw your child's 3-Year-Old or 4-Year-Old Kindergarten application.

* Fields marked with an asterisk are required.

Parent / Guardian First Name *

Parent / Guardian Surname *

Contact Phone Number *

Child's Given Name *

Child's Surname *

Name of 3YO Kindergarten/4YO Kindergarten *

Please indicate the year you are withdrawing from *

Reason for Withdrawal *

By clicking Submit button below, I confirm that I am responsible for this child and would like to withdraw my child’s kindergarten or Council pre-kindergarten application.

Greater Shepparton City Council manages personal and health information (“information”) in accordance with its Privacy Policy, the Privacy and Data Protection Act 2014 (Vic) and Health Records Act 2001 (Vic). Information is collected to communicate with you, and process your child’s kindergarten enrolment application. It is disclosed to service leaders, children services employees and the Department of Education and Training through the Kindergarten Information Management System. If you do not provide the requested information we may be unable to process your request. To gain access to or update the information provided please contact Children Services on 5832 9783.

Spam prevention test *

We get a lot of automated junk mail (spam), so we require you to pass this quick test before submitting.