PLC Armidale Registration Form
The following information is collected to assist with your enquiry to enrol your daughter at Presbyterian Ladies' College Armidale. Data is collected and stored in line with the College's Privacy Policy which is available on the College website or by contacting the College.
Student Name:
*
First and Other Names
Family Name
Preferred Name (if applicable):
Date of Birth:
*
-
Day
-
Month
Year
Date
Registering as a:
*
Please Select
Boarder
Weekly Boarder
Casual Boarder
Day Student
Proposed Start Date:
*
-
Day
-
Month
Year
Date
Year Level at Entry:
*
Please Select
Pre Kindergarten
Kindergarten
Year 1
Year 2
Year 3
Year 4
Year 5
Year 6
Year 7
Year 8
Year 9
Year 10
Year 11
Year 12
Proposed Days for Pre-Kinder (Select all days requested)
*
Monday
Tuesday
Wednesday
Thursday
Friday
Aboriginal or Torres Strait Islander?
*
Please Select
Neither
Both
Aboriginal
Torres Strait Islander
Parent/Carer 1 Details
Name
*
Mrs.
Mr.
Miss.
Dr.
Rev.
Prefix
First Name
Last Name
Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Contact Number:
*
Email Address:
*
example@example.com
Parent/Carer 2 Details
Name
Mr.
Mrs.
Ms.
Miss.
Dr.
Rev.
Prefix
First Name
Last Name
Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Contact Number:
Email Address:
example@example.com
Correspondence:
Both
Parent/Carer 1 Only
Parent/Carer 2 Only
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Additional Information:
Does the student require support because of a disability?
*
Please Select
Yes
No
If Yes, please add a description below. Failure to disclose information may result in the enrolment not being accepted/or cancellation of enrolment.
Does the student have any of the following?
Physical disability
Hearing impairment
Language disorder
Behaviour disorder
Learning difficulty
Acquired brain injury
Vision impairment
Intellectual disability
Mental health disorder
Autism
Other
Does the student have any allergies/intolerances?
Yes
No
Please provide details:
Are there any Family Court, Parenting or Consent orders in place?
*
Please Select
Yes
No
Where does the student usually reside?
*
Both Parent/Carers
Parent/Carer 1
Parent/Carer 2
Other
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Registration Fee
As part of the Conditions of Enrolment at Presbyterian Ladies College Armidale a non-refundable registration fee of $220 is payable to the College. This can be paid online via this form or at a later time directly to the College.
I would like to pay the registration fee:
Now
Later
Fee Payments
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Registration Fee
PLC Armidale Registration Fee
$
220.00
AUD
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Submit
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