Enrol

Grade

Term

Student Details

Previous Schools
Please provide details of the last school where the student has previously been enrolled:

Have you submitted an application form for another child?
YesNo

If yes, please provide full name & grade applying for

Parent's Details

Home Address:

Emergency Contact

Authorised to pick up the student?
YesNo

Medical Information

Any Allergies (e.g, Foods, Insect stings, dust) or other medical conditions (e.g, Asthma, Diabetes, Epilepsy) or any other information that the academy needs to know

I authorize the academy to seek appropriate medical treatment in the event of an emergency and I or any of the emergency contact cannot be contacted.
In the event that a doctor/ambulance is to be called by the academy staff member, I agree that I will be responsible for all costs associated with the patient’s treatment and transport.

Declaration

Please read the following conditions. Signing below indicates that you have read, understood, agreed to and consented to the Terms & Conditions