REGISTER YOUR INTEREST
Parent Information
Name
*
First Name
Last Name
Email Address
*
Phone Number
*
Please enter a valid phone number.
Student Information
Name
*
First Name
Last Name
Which Immersion Day would you like to register for? (you can select more than 1)
*
Creative Industries
e-STEM
Change Makers
Paddling
Sport and Health Science
Which Immersion Day would you like to register for?
*
Sport and Health Science
*Paddling, eSTEM, Change Makers and Creative Industries currently closed
Where is your child currently going to school?
*
Elanora State School
Palm Beach State School
Tallebudgera State School
Currumbin State School
Currumbin Valley State School
Ingleside State School
Caningeraba State School
St Augustine's Parish Primary School
Other
What year level is your child currently in?
*
Please Select
Year 4
Year 5
Year 6
Year 7
Year 8
Year 9
Year 10
Year 11
Year 12
How did you hear about ESHS XCELERATE Academies Immersion Days?
*
Social Media
Flyer in mail
Information from your Primary School
Banner on School Fence
Other
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