Register Interest

Personal Details

Child's Surname*

Legal Surname (if different)

Given Names*

Date of Birth*

Gender*

Male

Female

Not Specified

Parent/Guardian Surname*

Parent/Guardian First Name*

Title*

Mrs

Other

Residential Address*

Suburb*

Postcode*

Postal Address

(if different from residential address)

Suburb

Postcode

Telephone (Home)*

Telephone (Work)

(if convenient)

Mobile Phone*

Email*

Year Level enrolling in*

Start date: Beginning of following school year*

Yes

Preferred commencement date

Year level your child is currently enrolled in

(if applicable)

Name of school in which your child is currently or was last enrolled

(if applicable)

Are there any Family Court Orders regarding the day to day or long term care, welfare and development of your child?*

Yes

Does your child have an Australian Immunisation Register (AIR) Immunisation History Statement?*

Yes

If your application is accepted, you will be asked to provide an Australian Immunisation Register(AIR) Immunisation History Statement that is not more than two months old.

Are you applying to enrol your child in a specialist program at this school?*

Yes

Name of specialist program

Are there any brothers or sisters attending this school?*

Yes

Sibling information

Name

Year Level

House

Is your child a temporary resident?*

Yes

Date entered Australia if born overseas.

Visa Sub Class No.

Visa expiry date

Does your child have health or medical condition, disability or additional needs?*

Yes

This information will assist the school principal in planning to provide the best educational program for your child. Please provide details:

Declaration

The information and statements provided in this application for enrolment are true and accurate in relation to:

Name of enrolling Parent/Guardian*

Title*

Mrs

Other

Relationship to child*

(Independent minors and those aged 18 years or older may apply on their own behalf)

Telephone (Home)*

Telephone (Work)

Mobile Phone*

Signature*

Please check this box to confirm the above information is true and correct

Note: In the event that statements made in this application later prove to be false or misleading this application may be declined. Information supplied may need to be checked by the school.

Documents to be provided

The school will advise you of any additional documentation required.

Birth Certificate or extract or other identity documents

Max. file size: 128 MB.

Copies of Family Court or any other court orders (if applicable)

Max. file size: 128 MB.

Proof of address

Max. file size: 128 MB.

Information relating to health or medical condition, disability or additional needs (if applicable)

Max. file size: 128 MB.

If your child is not a permanent resident of Australia, you must provide evidence of current visa subclass and previous visa subclass

Max. file size: 128 MB.

(if applicable, such as if current visa is a bridging visa)

Reason for school transfer/enrolment from outside of catchment*