Language
English (US)
YMA Sunday School (Rowville)
Student Enrolment to be completed by a parent/guardian aged 18 and over.
Are you a new or returning student?
*
New Student
Returning Student
Student Information
Personal information about the Student enrolling.
Name
*
First Name
Last Name
Date of Birth
*
-
Day
-
Month
Year
Date Picker Icon
Gender
*
Male
Female
Address
*
Street Address
Street Address Line 2
Suburb
State
Post Code
Name of academic School
*
School Class
Prep
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Year 7
Year 8
Year 9
Year 10
Year 11
Year 12
Tertiary/Other
This is your year level at School (Mon-Fri) for 2018 Academic Year
Medical Conditions
It is essential that staff are aware of any medical conditions your child may have to best cater for them.
Do you have any diagnosed Medical conditions?
*
This includes diagnosed learning or behavioural conditions.
Do you have any special dietary requirements?
Medicare Number
*
Parent / Guardian / Next of Kin Details (1)
Information about a parent/guardian/next of kin for the student (must be aged 18 years and older)
Name
*
First Name
Last Name
Relationship to student
*
Mobile Number
*
Phone Number
-
Area Code
Phone Number
E-mail
*
example@example.com
Address
*
Street Address
Street Address Line 2
Suburb
State
Postcode
Parent / Guardian / Next of Kin Details (2)
Information about a parent/guardian/next of kin for the Student (must be aged 18 years and older)
Name
First Name
Last Name
Relationship to student
Mobile Number
Phone Number
-
Area Code
Phone Number
E-mail
example@example.com
Address
Street Address
Street Address Line 2
Suburb
State
Postcode
Photography & Film Permission
For purposes of documentation, marketing, and evaluation, it is necessary to take photos/videos of students. Images may be used for printed publicity, online and social media activities. We will not use the student's image without your consent.
Photography & Filming Permission
*
I give photo / film consent
I do not give photo/film consent
Declaration
By ticking the box below you are agreeing that the above information is correct and you will inform YMA Weekend School of any changes to details.
To be completed by a parent / legal guardian.
*
I agree that the above information is correct.
Fees
Payment of fees is a requirement to secure your child's enrolment. If you require financial assistance, please contact Madrasah admin team.
Please choose from one of the following payment options
prev
next
( X )
Annual Fee Upfront
(
$
500.00
AUD
for each
year
)
Fortnightly Installments ($62.5 x 8 installments)
(
$
62.50
AUD
for each
two weeks
)
Total
$
0.00
AUD
Billing email address
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Submit
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