ONLINE ENROLMENT APPLICATION FORM

Privacy Notice - Please Read Before Commencing Application

Permissions - Please Read Before Commencing Application

Thank you for considering Helena River Steiner School for your child's education.

In order to register a student for enrolment, the form below must be completed and a $50.00 enrolment fee paid. This fee is non-refundable and covers administration costs associated with enrolments and interviews.

VIEW FEE SCHEDULE

The school's bank account details are:
BSB: 633-000 / Account: 152498994. Please include the child's surname and first name in the payment description.

Once this form is completed, you will be required to provide a copy of the following documents to enrolments.hr@hrss.wa.edu.au:

Your child's birth certificate (or Certificate of Citizenship/Residency if not born in Australia);
Passport or Visa (if not Australian citizen);
Child's Immunisation Record;
Family/Court order documents (if relevant);
Copies of last two (2) school reports.

This form will take approximately 10 minutes to complete. Please complete all relevant fields and hit the "Submit" button at the end.

ONLINE ENROLMENT APPLICATION FORM

Student's Full Name(Required)

Date Of Birth(Required)

Gender(Required)

Languages Spoken At Home (other than English)

Is The Student An Australian Citizen?(Required)

If Not An Australian Citizen, Please Insert Visa number

Do You Identify As Aboriginal Or Torres Strait Islander?

DOES YOUR CHILD HAVE ANY ALLERGIES, DIETARY REQUIREMENTS, BEHAVIOURAL OR SPECIAL NEEDS?(Required)

Allergies(Required)

Required Medications(Required)

Physical / Sensory(Required)

Sight / Hearing(Required)

Speech(Required)

If Yes, please include further details below.

Relevant details relating to or involving the student (e.g. family structure, ill health, physical disability, allergies, other learning requirements), must accompany this application. In cases of special learning requirements, the School needs to be fully informed in order to provide adequate support for your child should a place be offered. The School reserves the right to consider termination of the enrolment if relevant material is not disclosed.

PRESENT OR PREVIOUS SCHOOL NAME

CURRENT CLASS(Required)

Reason For Change Of School

WHY HAVE YOU CHOSEN TO APPLY FOR ENROLMENT AT HRSS?

HOW DID YOU HEAR ABOUT OUR SCHOOL?

CAN YOU PROVIDE COPIES OF PREVIOUS TWO REPORTS?

WHAT CLASS ARE YOU APPLYING FOR?(Required)

WHAT YEAR ARE YOU STARTING?(Required)

WHAT TERM ARE YOU STARTING?(Required)

I/WE ARE COMMITTED TO A STEINER EDUCATION FOR OUR CHILD FOR:

PARENT/GUARDIAN 1: FULL NAME(Required)

PARENT/GUARDIAN 1: ADDRESS(Required)

PARENT/GUARDIAN 1: HOME/MOBILE(Required)

PARENT/GUARDIAN 1: WORK/MOBILE(Required)

PARENT/GUARDIAN 1: EMAIL(Required)

PARENT/GUARDIAN 1: RELATIONSHIP TO CHILD(Required)

PARENT/GUARDIAN 1: NATIONALITY(Required)

PARENT/GUARDIAN 1: INDIGENOUS STATUS

PARENT/GUARDIAN 1: DATE OF BIRTH

PARENT/GUARDIAN 1: OCCUPATION

PARENT/GUARDIAN 1: HIGHEST SCHOOL LEVEL

PARENT/GUARDIAN 1: TERTIARY EDUCATION DETAILS

PARENT GUARDIAN 1: ANY OTHER SKILLS OR INTERESTS (EG. FOR PARTICIPATION HOURS)

PARENT/GUARDIAN 2: FULL NAME

PARENT/GUARDIAN 2: ADDRESS

PARENT/GUARDIAN 2: HOME/MOBILE

PARENT/GUARDIAN 2: WORK/MOBILE

PARENT/GUARDIAN 2: EMAIL

PARENT/GUARDIAN 2: RELATIONSHIP TO CHILD

PARENT/GUARDIAN 2: NATIONALITY

PARENT/GUARDIAN 2: INDIGENOUS STATUS

PARENT/GUARDIAN 2: DATE OF BIRTH

PARENT/GUARDIAN 2: OCCUPATION

PARENT/GUARDIAN 2: HIGHEST SCHOOL LEVEL

PARENT/GUARDIAN 2: TERTIARY EDUCATION DETAILS

PARENT GUARDIAN 2: ANY OTHER SKILLS OR INTERESTS (EG. FOR PARTICIPATION HOURS)

ANY FAMILY/CUSTODY/COURT/ RESTRAINING ORDERS? (IF YES, PLEASE PROVIDE SCHOOL WITH A COPY)

WHO DOES THE CHILD PRIMARILY RESIDE WITH?

FAMILY CONTACT FOR SCHOOL COMMUNICATIONS

FAMILY CONTACT RESPONSIBLE FOR THE PAYMENT OF FEES (PLEASE PROVIDE NAME, EMAIL AND PHONE IF NOT ALREADY PROVIDED)

EMERGENCY/AUTHORITY TO COLLECT PERSON 1: FULL NAME

EMERGENCY/AUTHORITY TO COLLECT PERSON 1: RELATIONSHIP TO CHILD

EMERGENCY/AUTHORITY TO COLLECT PERSON 1: EMAIL

EMERGENCY/AUTHORITY TO COLLECT PERSON 1: ADDRESS

EMERGENCY/AUTHORITY TO COLLECT PERSON 2: FULL NAME

EMERGENCY/AUTHORITY TO COLLECT PERSON 2: RELATIONSHIP TO CHILD

EMERGENCY/AUTHORITY TO COLLECT PERSON 2: EMAIL

EMERGENCY/AUTHORITY TO COLLECT PERSON 2: ADDRESS

EMERGENCY/AUTHORITY TO COLLECT PERSON 3: FULL NAME

EMERGENCY/AUTHORITY TO COLLECT PERSON 3: RELATIONSHIP TO CHILD

EMERGENCY/AUTHORITY TO COLLECT PERSON 3: EMAIL

EMERGENCY/AUTHORITY TO COLLECT PERSON 3: ADDRESS

CHILD'S MEDICARE NUMBER AND EXPIRY DATE

FAMILY DOCTOR AND CLINIC NAME

CLINIC ADDRESS

CLINIC PHONE NUMBER

HAS YOUR CHILD RECIEVED ALL SCHEDULED IMMUNISATIONS? (PLEASE PROVIDE SCHOOL WITH A COPY OF RECORD)

SIBLING 1: NAME

SIBLING 1: DATE OF BIRTH

SIBLING 1: SCHOOL

SIBLING 2: NAME

SIBLING 2: DATE OF BIRTH

SIBLING 2: SCHOOL

SIBLING 3: NAME

SIBLING 3: SCHOOL

Have you read and understood the school's Privacy Notice?

Have you read and understood the school's Permissions Statement?

PAYMENT RECEIPT NUMBER

PAID VIA

DATE PAID

Copy Of Child's Birth Certificate (or Proof Of Citizenship/Residency) Provided To School?

Copy Of Child's Passport or Visa (if not Australian Citizen) provided To School?

Copy Of Child's Immunisation Record

Copy Of Court/Family Order Provided To School (if relevant)?

Copy Of Last Two Report Provided To School?

ONLINE ENROLMENT APPLICATION FORM

ONLINE ENROLMENT APPLICATION FORM

ONLINE ENROLMENT APPLICATION FORM

WE WOULD LOVE TO HEAR FROM YOU

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