Form

ONLINE ENROLMENT APPLICATION FORM

Today's Date(Required)

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?(Required)

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

Allergies(Required)

Required Medications(Required)

Physical / Sensory(Required)

Sight / Hearing(Required)

Psychological(Required)

Speech(Required)

Behavioural / Safety(Required)

Medic Alert Bracelet(Required)

Does your child have a diagnosis?(Required)

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)

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)

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)

PREFERRED STARTING YEAR(Required)

PREFERRED STARTING TERM?(Required)

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

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(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

FAMILY DOCTOR AND CLINIC NAME(Required)

CLINIC ADDRESS

CLINIC PHONE NUMBER

HAS YOUR CHILD RECEIVED ALL SCHEDULED IMMUNISATIONS?(Required)

Upload Immunisation Certificate

Max. file size: 1 GB.

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?