Enrolment Form

"*" indicates required fields

11. Personal Details
22. Documentation to be provided
33. Declaration

1. PERSONAL DETAILS

What calendar year do you wish your child to start with us?
DD slash MM slash YYYY
Gender*
Title*
Residential Address*
Postal Address (if different from residential address)
DD slash MM slash YYYY
Are there any Family Court Orders regarding the day to day or long term care, welfare and development of your child?*
Does your child have an Australian Immunisation Register (AIR) Immunisation History Statement?*
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.
Please provide name/s and year levels
Is your child currently under suspension from a school?*
Is your child a temporary resident?*
If yes, please provide details below
DD slash MM slash YYYY
DD slash MM slash YYYY
Does your child have health or medical condition, disability or additional needs?*
Is this application for the Education Support Program?
This information will assist the school principal in planning to provide the best educational program for your child.

Enrolments are now open!

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We wish to respectfully acknowledge the traditional owners and first peoples of this land, the Whadjuk people of the Perth region from the Noongar nation, and their elders past, present and emerging. We acknowledge, recognise, respect and seek to learn from the continuing culture and the contribution that they make to the life of this city and region.
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10 Watcombe Avenue,
Burns Beach WA 6028

08 9233 6850

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