Student Enrolment Form

Student Enrolment Form
Parent / Carer 1*

Full NameRelationship to Child
Parent / Carer 2*

Full NameRelationship to Child
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Child Details
Full Name*

First NameLast Name
Date of Birth*

DayMonthYear
Date
Gender*

MaleFemale
Required Year Level (Commencing January 2027)*

PrepGrade 1Grade 2

My Products*

Enrolment Fee

$150.00AUD

Total

$0.00AUD

Credit Card

Should be Empty: