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Kindergarten and Childcare Change of Address Form

This form is for Childcare and Kindergarten services only. For all other address updates, please use this form instead, or call Customer Service on 58 329 700.

* Fields marked with an asterisk are required.

Applicant Details

Full Name *

Date of Birth

Day / Month / Year

Company

Phone Number *

Email Address *

Other People Affected By This Change

Person 1 - Full Name

Person 1 - Date of Birth

Day / Month / Year

Person 2 - Full Name

Person 2 - Date of Birth

Day / Month / Year

Address Details

Previous Postal Address

Previous Postal Address - Suburb

Previous Postal Address - Postcode

New Postal Address

New Postal Address - Suburb

New Postal Address - Postcode

Residential Address (if different to postal address)

Residential Address

Residential Address - Suburb

Residential Address - Postcode

Further Information

Authorisation

By typing your full name below, you are confirming that the above information you have provided is true and valid. It also means that you consent that any changes to your personal information will be applied to Council's Children's Services.

Full Name *

Greater Shepparton City Council collects personal information for the purposes of carrying out its functions and facilitating the operations of various other Acts of Parliament, including the Fences Act 1968. We may disclose this information, where required, to our contractors, registered valuers, adjoining owners or where there is legislative requirement.

Spam prevention test *

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