Enrollments

Student Information:

* Family Name:

* Given Name:

* Date of Birth:

* Gender:
MaleFemale

* Address:

* Suburb

* Main Language spoken at home:

Main / Weekday School:

* Name of the school:

* Year Level in day school:

Family Information:
Parent/Guardian #1

* Relation to student:

* First Name:

Family Name:

* Country of Birth:

* Telephone:

* Language spoken at home:

Parent/Guardian #2

* Relation to student:

* First Name:

* Family Name:

* Country of Birth:

* Telephone:

* Language spoken at home:

Is your child:

* an Australian citizen/Permanent resident?
yesno

* A full-fee paying international student?
yesno

If other, please specify?

* currently enrolled at another community language school to learn the same language?
yesno

If yes, which school?

* Has your child ever been enrolled at another community language school to learn the same language?
yesno

If yes, which school?

Extra Curricular Activities:

* Do you want your child to attend extra-curricular activities such as Qur'an Class? (Please note the fee for the activities will be charged separately)
yesno

Medical Information:

* Does your child have any medical conditions?
yesno

Please explain any medical conditions in detail:

* Does your child have disabilities or impairments?
yesno

Please explain impairment in detail:

Consent:

* Do you acknowledge the school to use images of your child for promotional, educational and external publication use?
yesno

* Parent/Guardian Full Name:

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