Please complete the application for enrolment form below, or select download application for enrolment form to download this form in a PDF format.
Once you submit the below application for enrolment form, you will receive confirmation by email that your details entered on your application for enrolment form has been received.
Surname:
Legal Surname:
1st Name:
2nd Name:
Preferred Name:
Address:
Telephone No:
Mobile No:
Facsimile No:
Date of Birth:
Sex:
Male Female
Email Address:
Current Year Level:
Names of brothers and sisters attending this school:
Child lives with:
Mother Father Both Parents Neither Parent
Access Restriction:
Yes (if yes you will need to send us details) No
If not mother please indicate relationship e.g. Step Mother, Aunt, Guardian
Title:
First Name:
Occupation:
Telephone Work:
Telephone Home:
Mailing Address (if different from above):
If not father please indicate relationship e.g. Step Father, Uncle, Guardian
Surame:
Please indicate relationship e.g. Friend, Neighbour, Grandparent
Please advise the school of any other emergency contact details you would like recorded.
Student first language:
Is the student of Aboriginal or Torres Strait Islander origin:
Yes No
If yes please indicate:
Aboriginal Torres Strait Islander
Main language spoken at home:
Health card:
Permanent resident:
Yes No - If no please answer the following questions
Date entered Australia:
Visa sub-class number:
In receipt of allowance:
Secondary Assistance Abstudy Youth Allowance Assistance for Isolated Children (AIC)
Country of Birth:
Previous School:
Medical Conditions & Associated Procedures:
Current Medication:
Please provide details of any condition that may call for special steps to be taken:
Name of person enrolling student:
