Kindergarten Student Information Update Form

Kindergarten Student Information Update Form
Date

MonthDayYear
Date
First Year KindergartenSecond Year Kindergarten
Student's Name*

First NameLast Name
Carer A Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState

Post Code
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Carer B Name

First NameLast Name
Address (If different to child's)

Street Address

Street Address Line 2

CityState

Post Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact Details

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact Details

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact Details

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Do you have a health Care Card? Please text or email a current copy to the office

YesNo
Are there any changes to who is responsible for payment of fees? If yes, please let the office know directly

YesNo
Do you give permission for your child's photograph to be used for:
School Newsletter

YesNo
School Website

YesNo
Social Media - Facebook, Instagram

YesNo
StoryPark

YesNo
Advertising - Magazines, Ads, Signs

YesNo
Has there been any changes you your child's MEDICAL CONDITIONS?
Has you child's dietary requirements changed during the past 12 months?
Childs Doctor

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
I authorise Ballarat Steiner School and Kindergarten staff to provide emergency first aid, including naturopathic medicine, and to seek medical aid and/or ambulance services if required.

Please note: Our school does not organise nor offer opportunities for student vaccinations.

By signing below, I understand that this form verifies my child's details but does not override the original enrolment form.

I agree to provide at least one term's written notice if I intend to withdraw my child from Ballarat Steiner School. I understand that failure to provide this notice will result in a term’s fees being charged in lieu of notice.
Signature
Should be Empty:

Kindergarten Student Information Update Form

Do you give permission for your child's photograph to be used for: