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K-10 ENROLMENT APPLICATION FORM
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Form
Form
ONLINE ENROLMENT APPLICATION FORM
Today's Date
(Required)
MM slash DD slash YYYY
Student's Full Name
(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.
Languages 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 number
Do You Identify As Aboriginal Or Torres Strait Islander?
(Required)
Please Select
Yes
No
DOES YOUR CHILD HAVE ANY ALLERGIES, DIETARY REQUIREMENTS, BEHAVIOURAL OR SPECIAL NEEDS?
(Required)
Please Select
Yes
No
Allergies
(Required)
No
Yes
Required Medications
(Required)
No
Yes
Physical / Sensory
(Required)
No
Yes
Sight / Hearing
(Required)
No
Yes
Psychological
(Required)
No
Yes
Speech
(Required)
No
Yes
Behavioural / Safety
(Required)
No
Yes
Medic Alert Bracelet
(Required)
No
Yes
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
(Required)
Please Select
Pre-Kindy
Kindergarten
Pre-Primary
Class 1
Class 2
Class 3
Class 4
Class 5
Class 6
Class 7
Class 8
Class 9
Class 10
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)
CAN YOU PROVIDE COPIES OF PREVIOUS TWO 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
Pre-Kindy
Kindy 4
Kindy 5
Kindy 6 1
Class 2
Class 3
Class 5
Class 6
Class 7
Class 8
Class 9
Class 10
Other
PREFERRED STARTING YEAR
(Required)
Please Select
2021
2022
2023
2024
2025
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: 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
Please Select
Yes
No
PARENT/GUARDIAN 1: DATE OF BIRTH
DD slash MM slash YYYY
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
Please Select
Yes
No
PARENT/GUARDIAN 2: DATE OF BIRTH
MM slash DD slash YYYY
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)
Please Select
Yes
No
WHO DOES THE CHILD PRIMARILY RESIDE WITH?
FAMILY CONTACT FOR SCHOOL COMMUNICATIONS
(Required)
FAMILY CONTACT RESPONSIBLE FOR THE PAYMENT OF FEES (PLEASE PROVIDE NAME, EMAIL AND PHONE 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: 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: PHONE
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: PHONE
EMERGENCY/AUTHORITY TO COLLECT PERSON 3: EMAIL
EMERGENCY/AUTHORITY TO COLLECT PERSON 3: ADDRESS
CHILD'S MEDICARE NUMBER AND EXPIRY DATE
(Required)
FAMILY DOCTOR AND CLINIC NAME
(Required)
CLINIC ADDRESS
CLINIC PHONE NUMBER
HAS YOUR CHILD RECEIVED ALL SCHEDULED IMMUNISATIONS?
(Required)
Please Select
Yes
No
Upload Immunisation Certificate
(Required)
Max. file size: 1 GB.
PLEASE PROVIDE SCHOOL WITH A COPY OF RECORD
SIBLING 1: NAME
SIBLING 1: DATE OF BIRTH
MM slash DD slash YYYY
SIBLING 1: SCHOOL
SIBLING 2: NAME
SIBLING 2: DATE OF BIRTH
MM slash DD slash YYYY
SIBLING 2: SCHOOL
SIBLING 3: NAME
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
Please Select
Cash
Bank Transfer
DATE PAID
MM slash DD slash YYYY
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?
Email
This field is for validation purposes and should be left unchanged.
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