Greek School CC Enrolment Form: School Age Children

Greek School CC Enrolment Form: School Age Children

This enrolment and parent/carer consent form is to be completed in English. Student details provided on the form should match those provided to the student’s day school. A separate form is to be completed for each student annually.
Student Name*
Preferred Name
Gender*

FemaleMale
Date of Birth*

DayMonthYear
What school year is your child in their day school?*
Is the student an overseas full fee paying student?*
Name of community language school*
Date of Enrolment at Greek School Central Coast*

DayMonthYear
Date
Level of Greek*
IBN ID
DAY SCHOOL ATTENDED

Please provide details of the day school where the student is currently enrolled.
Name of Day School*
Location of Day School*
Date of commencement of day school attending currently*

DayMonthYear
FROM
DayMonthYear
TO
MEDICAL RECORDS
Does your child have any medical conditions we should be aware of?*
If you answered "YES" above, please advise of any medical conditions your child may have, and we should be aware of:
Does your child have any learning difficulties we should be aware of?*
If you answered "YES" above, please advise of any learning difficulties your child may have, and we should be aware of:
Please list at least 3 things/activities your child is currently into (e.g. sport, song, music instrument, type of music, hobbies). Please feel free to list more than three:*
FAMILY DETAILS:
B. Parent/Carer 1 with whom the student normally lives*
(eg Mr/Ms/Mrs/Dr)
Gender*

FemaleMale
Relationship to student*
Country of birth*
Mobile Number*
E-mail*
B. Parent/Carer 2 with whom the student normally lives*
(eg Mr/Ms/Mrs/Dr)
Gender

FemaleMale
Relationship to student
Country of birth
Mobile Number
E-mail
C. Parents/Carers with who this student normally lives*

Name to be used for all correspondence (eg Mr and Mrs A Black, Ms B Green)

Street Address

SaburbState

Post Code
Is this the residential address of the student to be enrolled?*
Correspondence address

If different to your residential address please write it below

Street Address

SaburbState

Post Code
If the school needs to contact a parent/carer, please specify, in order of preference, who to contact
If there are any special conditions or times relevant to any contact number, please include this in the comment box next to the number (eg Mondays and Tuesdays only).
D. Parents/Carers not living with this student
(eg Mr/Ms/Mrs/Dr)
Gender

FemaleMale
Relationship to student
Mobile Number
E-mail
Residential address (eg 1 High Street, Sydney, NSW, 2000)

Street Address Line 1

Street Address Line 2

SaburbState

Post Code
Does the student sometimes reside at this address?
E. Additional emergency contacts

Please nominate two people over the age of 18 years who may be contacted in the event of an emergency if the community language school is unable to contacts the parents/carers listed in section C. Please ensure that you have discussed with these people their willingness to be emergency contacts
CONTACT DETAILS (first preference)*
Relationship to student*
Phone Number*
.
CONTACT DETAILS (second preference)*
Relationship to student*
Phone Number*
If the school needs to contact an emergency contact, please specify, in order of preference, who to contact.
If there are any special conditions or times relevant to any contact number, please include this in the comment box next to the number (eg Mondays and Tuesdays only).
PERMISSIONS
Personal information and declaration of accuracy

The personal information collected on this information form is for purposes directly related to your child's attendance at a community languages school, including the processing of applications for grant funding from the NSW Community Languages Schools Program, administered by the NSW Department of Education. Any information provided to the Department of Education and will be used, disclosed and stored consistent with the NSW privacy laws. Certain information is required by the Department of Education to meet its obligations in relation to data collection, reporting and the payment of grants. Information may be disclosed to NSW State and Commonwealth government agencies and other organisations for the purposes of confirming the eligibility of students for grant funding and as authorised or required by law. Information will be stored on a secure electronic database. You may access or correct the information by contacting your child's community language school. The community language school is responsible for advising the NSW Department of Education and of any corrections required to the electronic database. If you have a concern or complaint about the information collected or how it has been used or disclosed you should contact the community language school.

Your consent and declaration

I have provided information related to the student in this enrolment form. I consent to providing information contained on this enrolment form to the Department of Education and to confirm the accuracy of the information with other organisations that may also hold information related to the student named on page 1. I have read the information on this page concerning the collection of personal information. I declare that the information provided in this enrolment form is, to the best of my knowledge and belief, accurate and complete. Where I have given personal information about other people I have done so with their authorisation. I am aware that if information I have given is false or misleading, any decision made as a result of this enrolment form may be changed. Signature of parent/carer (at least one of the student's parents/carers must sign the enrolment form)
I accept these terms
Parent/Carer Name*
Date*

DayMonthYear
Date
Signature*

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Parent/Carer/Self Certification Form

USE OF PERSONAL INFORMATION
I have been advised by Greek School Central Coast that the information about
Student's Name*
provided on the NSW Community Languages Schools Program (CLSP) Funding Application is used for the purpose of applying for and monitoring funding under the CLSP. It will be used by the NSW Department of Education (DoE) for assessment of eligibility and monitoring of program implementation. I have been advised that DoE will be granted access to the information, that provision of this information is voluntary and that it will be stored securely.

I am aware that if I do not provide all or any of this information my child will not be funded.

(You may correct any personal information provided at any time by contacting Greek School Central Coast).
Parent/Carer Name*
DayMonthYear
Signature*

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Parent/Carer Name
DayMonthYear
Signature

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Permission to publish student’s work or photographs form
I give permission to Greek School Central Coast to take photographs of this student during school activities and to publish the photographs and or work on School’s Newsletter, School’s Website, Social Media etc.
If published, third parties would be able to view the photographs and/or work.
By granting permission I agree to the following:

1. Greek School Central Coast is able to photograph and publish photographs/work of your child as many times
as it requires in the ways mentioned above.

2. Your child’s photograph/work may be reproduced either in colour or in black and white.

3. Your child’s photograph/work will not be used for any purpose other than for general promotion of languages education in Community Language School.

4. Any photographs will be kept for no longer than is necessary for the abovementioned purposes and will be stored and disposed of securely.

5. While every effort will be made to protect the identity of your child, the Community Language School cannot guarantee that your child will not be able to be identified from the photograph/work.

Please indicate below whether you agree to permit the Greek School Central Coast to take photographs of your child, and to publish the photographs/work of your child, in the manner detailed above.
Yes, I agreeNo, I do not agree
Parent/Carer Name*
Date*

DayMonthYear
Signature*

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BANKING DETAILS

FOR YOUR REFUND
A 10% discount on tuition fees will be refunded to your card for any additional school-aged children enrolled. Is this an additional school-aged child you are enrolling?*
PAYMENT

Annual Enrolment Fee

$30.00AUD

School Aged Child Tuition Fee -

$120.00AUD

Booking Fee

$2.69AUD

Total

$0.00AUD

Credit Card

Should be Empty:

Greek School CC Enrolment Form: School Age Children

DAY SCHOOL ATTENDED

MEDICAL RECORDS

FAMILY DETAILS:

E. Additional emergency contacts

PERMISSIONS

Parent/Carer/Self Certification Form

Permission to publish student’s work or photographs form

BANKING DETAILS

PAYMENT

Credit Card