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Application For Enrolment Form
Step 1 of 4
25%
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:
*
Mr.
Mrs.
Miss
Ms.
Dr.
Prof.
Rev.
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:
*
Date Format: DD slash MM slash YYYY
Sex
*
Male/Female/Other
Male
Female
Title
*
Mr / Mrs / Ms / Other...
Mr.
Mrs.
Miss
Ms.
Dr.
Prof.
Rev.
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
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Réunion
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Is your postal address different from residential address?
*
Yes
No
Postal Address:
*
PO Box No.
City/Town/Suburb
State
Postcode
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Réunion
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
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:
*
Start Date Details
Year Level:
*
Kindergarten
Pre-Primary
Year 1
Year 2
Year 3
Year 4
Year 5
Year 6
Indicate Start Date
*
Date Format: DD slash MM slash YYYY
If applicable, year level child currently enrolled in (e.g. Year 6):
Kindergarten
Pre-Primary
Year 1
Year 2
Year 3
Year 4
Year 5
Year 6
If applicable, name of school at which the child is currently or was last enrolled:
Immunisation Details
You are required to provide the school with this information when you apply to enrol your child.
*
Is your child immunised?
Yes
No
If YES, does the child have an Australian Immunisation Register (AIR) Immunisation History Statement that is not more than two months old?
*
Yes
No
If NO, this must be provided before the enrolment can be completed.
Sibling Details
Will there be any brothers or sisters attending this school?
*
Yes
No
Name(s) and year level(s):
*
Click the plus icon to add more than one child.
Name
Year Level
Behavourial Details
Is your child currently under suspension from a school?
*
Yes
No
If YES, name of school:
*
Has your child ever been excluded from a school?
*
Yes
No
If YES, name of school:
*
Residency Details
Is your child a permanent resident of Australia?
*
Yes
No
If NO, please indicate date entered Australia:
*
Date Format: DD slash MM slash YYYY
VISA SUB-CLASS NUMBER:
*
VISA GRANT NUMBER:
*
VISA SUB-CLASS EXPIRY DATE:
*
Medical Details
Does your child have a disability/medical condition?
*
Yes
No
If YES, please indicate whether:
*
This information will assist the school principal in considering whether any specific or additional resources are required and available to assist the school in providing the best educational program for your child.
Physical
Intellectual
Other medical condition(s)
Please outline nature of disability/medical condition(s) or attach details.
*
I will write an outline.
I will upload supporting documentation at Step 3.
Outline nature of disability/medical condition(s):
*
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
Other documents:
*
List the name of each additional document.
Click the plus icon to add more than one document.
Documents Upload:
Drop files here or
Accepted file types: pdf, doc, docx, rtf, jpg, gif, png.
Date
*
Date Format: DD slash MM slash YYYY
Parent/Guardian Signature:
*
Consent
*
Privacy policy goes here.
I agree to the privacy policy.
Phone
This field is for validation purposes and should be left unchanged.
Who We Are
Our School
Our History
Our Direction
Our Board
Our Brand
Reports & Reviews
For Parents
Calendar
News
Purchasing Uniforms
Carlisle Family Connect
Contributions & Charges
Student Booklists
School Dates & Times
Health & Medical Information
Join Us
How to Enrol
Apply Now
Age & Year Level Information
Our Community
Dental Therapy Clinic
Before & After School Care
Belmont City College
Kent Street Senior High School
Belmont City Council
Contact