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Form
Form
ONLINE ENROLMENT APPLICATION FORM
Today's Date
(Required)
MM slash DD slash YYYY
Student's Surname
(Required)
Student's Given Name(s)
(Required)
Date Of Birth
(Required)
DD slash MM slash YYYY
Gender
(Required)
Please Select
Male
Female
Non-Binary
Prefer Not To Say
Upload Copy of Birth Certificate
(Required)
Max. file size: 1 GB.
Language(s) spoken at home (other than English)
Is the student an Australian citizen?
(Required)
Please Select
Yes
No
If not an Australian citizen, please insert Visa subclass number
If applicable, please insert Visa number
Child's Indigenous Status:
(Required)
Please Select
Aboriginal
Torres Strait Islander
Not applicable
Does you child have any allergies / dietary requirements / special needs?
(Required)
Please Select
Yes
No
Please provide details below:
Allergies
(Required)
No
Yes
Details
Required Medications
(Required)
No
Yes
Details
Physical / Sensory
(Required)
No
Yes
Details
Sight / Hearing
(Required)
No
Yes
Details
Psychological
(Required)
No
Yes
Details
Speech
(Required)
No
Yes
Details
Behavioural / Safety
(Required)
No
Yes
Details
Medic Alert Bracelet
(Required)
No
Yes
Details
Does your child have a diagnosis?
(Required)
No
Yes
If Yes, diagnostic reports must be provided
Upload Diagnosis Report (if relevant)
Max. file size: 1 GB.
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
(Required)
Current class level
(Required)
Please Select
Kindergarten
Pre-Primary
Class 1
Class 2
Class 3
Class 4
Class 5
Class 6
Class 7
None
Reason for change of school
(Required)
Why have you chosen to apply for enrolment at HRSS?
(Required)
How did you hear about our school?
(Required)
Please Select
Word of mouth (family or friends)
Web browser search
Facebook
Instagram
Billboard
Radio
Bus sign
Other
Can you provide copies of two previous school reports?
(Required)
Please Select
Yes
No
Upload School Report 1
Max. file size: 1 GB.
Upload School Report 2
Max. file size: 1 GB.
What class are you applying for?
(Required)
Please Select
Kindy 4
Kindy 5
Kindy 6
Class 1
Class 2
Class 3
Class 4
Class 5
Class 6
Class 7
Preferred starting year?
(Required)
Please Select
2024
2025
2026
2027
2028
2029
Preferred starting term?
(Required)
Please Select
Term 1
Term 2
Term 3
Term 4
I/we are committed to a Steiner education for our child for:
(Required)
Please Select
Up To Kindy/Pre-Primary
Primary School
High School
Parent/Guardian 1: Surname
(Required)
Parent/Guardian 1: First name
(Required)
Parent/Guardian 1: Address
(Required)
Parent/Guardian 1: Home / Mobile
(Required)
Parent/Guardian 1: Work / Mobile
Parent/Guardian 1: Email
(Required)
Parent/Guardian 1: Relationship to child
(Required)
Parent/Guardian 1: Nationality
(Required)
Parent/Guardian 1: Indigenous status
Please Select
Aboriginal
Torres Strait Islander
Not applicable
Parent/Guardian 1: Date of birth
DD slash MM slash YYYY
Parent/Guardian 1: Occupation
Parent/Guardian 1: Highest secondary school level
Year 12 or equivalent
Year 11 or equivalent
Year 10 or equivalent
Year 9 or equivalent or lower
Parent/Guardian 1: Tertiary education
Bachelor Degree or above
Advanced Diploma / Diploma
Certificate I to IV (including Trade Certificate)
Non school qualification
None
Parent/Guardian 1: Any other skills or interests (eg. for Participation Hours)
Parent/Guardian 2: Surname
Parent/Guardian 2: First 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
Please Select
Yes
No
Parent/Guardian 2: Date of birth
DD slash MM slash YYYY
Parent/Guardian 2: Occupation
Parent/Guardian 2: Highest secondary school level
Year 12 or equivalent
Year 11 or equivalent
Year 10 or equivalent
Year 9 or equivalent or lower
Parent/Guardian 2: Tertiary education
Bachelor Degree or above
Advanced Diploma / Diploma
Certificate I to IV (including Trade Certificate)
Non school qualification
None
Parent/Guardian 2: Any other skills or interests (eg. for Participation Hours)
Any Family / Custody / Court / Restraining Orders? (If yes, please provide HRSS with a copy)
Please Select
Yes
No
Who does the child primarily reside with?
Family contact person for school communications
(Required)
Family contact person responsible for the payment of fees (provide name, email and phone details if not already provided)
(Required)
Emergency / Authority to Collect Person 1: Full name
Emergency / Authority to Collect Person 1: Relationship to child
Emergency / Authority to Collect Person 1: Phone
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: Phone
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: Phone
Emergency / Authority to Collect Person 3: Address
Child's Medicare number
(Required)
Child's Medicare card expiry month
(Required)
01
02
03
04
05
06
07
08
09
10
11
12
Child's Medicare card expiry year
(Required)
2024
2025
2026
2027
2028
2029
2030
Family doctor and clinic name
(Required)
Family doctor clinic address
Family doctor clinic phone
Has your child received all scheduled immunisations?
(Required)
Please Select
Yes
No
Upload Immunisation Certificate
(Required)
Max. file size: 1 GB.
PLEASE PROVIDE HRSS WITH A COPY OF RECORD
Sibling 1: Name
Sibling 1: Date of birth
DD slash MM slash YYYY
Sibling 1: School
Sibling 2: Name
Sibling 2: Date of birth
DD slash MM slash YYYY
Sibling 2: School
Sibling 3: Name
Sibling 3: Date of birth
DD slash MM slash YYYY
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
Please Select
Cash
Bank Transfer
DATE PAID
DD slash MM slash YYYY
Copy of child's Birth Certificate (or Proof Of Citizenship/Residency) provided to HRSS?
Copy of child's Passport or Visa (if not Australian citizen) provided to HRSS?
Copy of child's Immunisation Record
Copy of Court / Family Order provided to HRSS (if relevant)?
Copy of last two School Reports provided to HRSS (if applicable)?
Copy of any Diagnostic Reports (if applicable)?
Comments
This field is for validation purposes and should be left unchanged.
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