Student Enrolment Form - 2025

Primary Parent / Guardian Details
Primary Parent / Guardian Full Name*

First Name (P/G 1)Last Name (P/G 1)
Relationship to student (P/G 1)*
Email (P/G 1)*
example@example.com
Mobile Number (P/G 1)*
Please enter a valid phone number.
Second Parent / Guardian Details
Second Parent / Guardian Full Name

First Name (P/G 2)Last Name (P/G 2)
Relationship to student (P/G 2)
Email (P/G2)
example@example.com
Mobile Number (P/G2)
Please enter a valid phone number.
Emergency Contact Details

Do not use the Parent or Guardian details
Emergency Contact Full Name*

First Name (E)Last Name (E)
Relationship to student (E)*
Mobile Number (E)*
Please enter a valid phone number.

Medical Information
Does your child suffer from any medical condition? (e.g. asthma, epilepsy, allergies etc.)?*

YesNo
Specify the medical condition*
Medical Plan (Copy of the medical Plan that you provided to the mainstream school)*

Cancelof
Is your child currently on any medication?*

YesNo
Specify the medications*

Annual Photography Consent During the school year
There are many occasions and events where staff may photograph, film or record students participating in school activities and events. We do this for many reasons including to celebrate student participation and achievement, or to communicate with our parents and school community. This notice applies to photographs, video or recordings of students that are collected, used and disclosed by the school. We ask that any parents/carers or other members of our school community photographing, filming or recording students at school events (e.g. concerts, sports events etc) do so in a respectful and safe manner and that any photos, video or recordings (“images”) of students are not publicly posted (e.g. to a social media account) without the permission of the relevant parent/carer. If you do not understand any aspect of this notice, or you would like to talk about any concerns you have, please contact the school.

I consent to my child being photographed or audio/visually recorded participating in class or school activities for the use and purposes of sharing;
1. with other families in the school that will only be sent to school families in my child’s class;
2. in the school newsletter;
3. on the school website, in CLS marketing or CLS social media sites.
(Note: You may withdraw your consent at any time however please note that it may not be possible for the school to amend past publications or to withdraw images that are already in the public domain)
Annual Photography Consent*

I do AgreeI do Not Agree
Parent/Guardian Privacy Consent and Declaration
I confirm that the information provided on this enrolment form is true and correct and I acknowledge and agree to the terms and conditions of enrolment accompanying this enrolment form. I understand that the Principal or Coordinator or teacher (where the coordinator or teacher in charge is unable to contact me) is allowed to disclose personal and health information to professional third parties in the event of a medical emergency, in accordance with Victorian privacy law. I consent to: a) the collection of my child’s health and personal information by the community language school for the purposes mentioned in this form; b) the community language school disclosing my child’s personal information contained in this enrolment form(name, date of birth and mainstream school name), to the Department of Education and Training for data verification and funding purposes.*

I do Agree
Name of Parent / Guardian*
Signature of Parent / Guardian*

Clear
Date*

DayMonthYear
Date
Please verify that you are human*
Should be Empty: