NOTE: Children may be enrolled in Kindergarten in one school only, either public or private.

NOTE: In the event that statements made in this application later prove to be false or misleading, a decision on this application may be reversed. Information supplied may need to be checked by the school.

(Enrolment Pack (Part A) - Application Form Version 3.0, updated June 2019 with immunisation.)

Declaration

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

Name of child:*

First Middle Last

Name of person enrolling child:*

Title First Name Second Name Last Name

Relationship to child:*

Mobile Phone No:*

Telephone (Home):

Telephone (Work):

Was your child born in Australia?*

Yes

No

If your child was not born in Australia, you must provide evidence of:*

Check the boxes for the information you will provide and upload supporting documentation at Step 4.

Date of entry into Australia

Passport or travel documents

Current visa subclass, Visa grant number, expiry date and previous visa subclass (if applicable}

If your child is a temporary visa holder, you must also provide:

Choose your option and upload supporting documentation at Step 4.

Confirmation of placement or enrolment for an overseas fee-paying student or evidence of any permission to transfer provided by TAFE International WA, or;

Evidence of the visa for which the student has applied if the student holds a bridging visa

Personal Details

Given names of child:*

First Middle

Child's surname:*

Legal (if different)

Surname

Date of birth:*

Sex*

Male/Female/Other

Male

Female

Other

Title*

Mr / Mrs / Ms / Other...

Given names of parent/responsible person:*

First Middle

Surname of parent/responsible person:*

Surname

Residential address:*

Must be completed.

Street Address Nearest intersecting street City/Town/Suburb State Postcode Country

Is your postal address different from residential address?*

Yes

No

Postal Address:*

PO Box No. City/Town/Suburb State Postcode Country

Must be completed.

Mobile Phone No:*

Telephone (Home):

Work (if convenient):

Email:*

Enter Email Confirm Email

Legal Details

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

Yes

No

If yes, please specify and upload supporting documentation at Step 4.

Specify court order(s):*

Is the child subject to access restriction?*

Yes

No

If yes, please specify below and upload supporting documentation at Step 3.

Specify child access restriction:*

Documents to be provided for enrolment:

Please click each checkbox to indicate each document attached to this application form.

Documents Checklist:*

Birth Certificate (original or certified copy) or extract or other identity documents if applicable. (Principals will refer to guidance 3.5.1 of the Enrolment Procedures where evidence is not provided).

Australian Immunisation Register (AIR) Immunisation History Statement; or AIR Immunisation History Form; or Immunisation Certificate issued by the Chief Health Officer

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

Proof of address (see Requested documentation in the attached Parent information).

Information relating to suspensions or exclusions.

Information relating to disability.

Other

Application For Enrolment Form

(Enrolment Pack (Part A) - Application Form Version 3.0, updated June 2019 with immunisation.)

Declaration

Personal Details

Legal Details

Start Date Details

Immunisation Details

If NO, this must be provided before the enrolment can be completed.

Sibling Details

Behavourial Details

Residency Details

Medical Details

Documents to be provided for enrolment: