Application for School Enrolment in vertical collapsible tabs



Student Information
Surname
First Name
Middle Name
Preferred Name

Date of Birth
Gender

Country of Birth
Nationality

Religion
Primary Language
English
Other:

Is student Aboriginal?
Yes
No
Is student Torres Strait Islander?
Yes
No

Residential Address
Apt/Unit No.

Suburb
State
Postcode

Home Phone
Mobile Phone

Present School Name
Present Year Level

Year Level of Entry
School Year of Entry

Parent/Guardian Information
Parent/Guardian 1

Family Name
Given Name

Relationship to Student
Does the student live with you?
Yes
No



Home Phone
Business Phone

Mobile Phone
Email

Employer
Occupation


Parent/Guardian 2

Family Name
Given Name

Relationship to Student
Does the student live with you?
Yes
No



Home Phone
Business Phone

Mobile Phone
Email

Employer
Occupation


Emergency Contact
Emergency Contact 1

Family Name
Given Name

Relationship to Student
Phone Number


Emergency Contact 2

Family Name
Given Name

Relationship to Student
Phone Number

Signature
We certify that the information provided in this form is true and correct.

Parent/Guardian 1 Signature
Parent/Guardian 2 Signature

Application Fee
The Application Fee of $200.00 must be paid and it is non-refundable.