ENROLMENT APPLICATION FORM

(Strictly Confidential)
Student’s name
Subject
Date of birth
Age
Grade
Gender
Preferred Class Time and Day
Does the Student wear spectacles in the Classroom:
Parent’s Details
Parent 1
Parents Name:
Address
Postcode:
Home telephone:
Mobile:
Work telephone:
Fax:
Email address:
Parent 2
Parents Name:
Address
Postcode:
Home telephone:
Mobile:
Email address:
Carer’sDetails (If Carer Supporting Application). STUDENT resides with parent/carer/other
Carer’s name:
Relationship to child:
Home telephone:
Mobile
Email address: