Prep-Year 12 Enrolment Form

Prep-Year 12 Enrolment Form

Please complete one form per student.
Student's Name

First NameMiddle NameLast Name
Type of enrolment
Gender
Student's Date of Birth

DayMonthYear
Date
Intended year of study
Intended level of study
Is there a specific date you wish for your child to start at Lighthouse?

MonthDayYear
Date
Name of last/current school
Reason for leaving last school
Attach scanned copy of 2 most recent Report Cards

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Attach scanned copy of most recent NAPLAN results

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Attach scanned copy of most recent NAPLAN results

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Attach a copy of the child's Birth Certificate

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Student Residential Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Country of Birth
Australian Citizen
Date of arrival in Australia if not born in Australia

MonthDayYear
Date
Visa Number (if applicable)
Information required by MCEEDYA, DEEWR
Visa Grant Notice (if applicable)

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Passport - please upload a copy of your passport

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Passport Number
Passport Expiry Date

MonthDayYear
Date
Indigenous status
Does the student or mother/father speak a language other than Standard Australian English at home?
Main Language of Student
Main Language of Mother/Guardian
Main Language of Father/Guardian
Parent/Guardian Details

Parent/Guardian 1
Name

PrefixFirst NameLast Name
Relationship to student
Country of birth
Languages other than English spoken at home
Resides with the student?
Residential Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Postal address same as residential address?
Postal Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone

Area CodePhone Number
Work Phone

Area CodePhone Number
Mobile Phone
Email
Highest year level of schooling completed
Highest level of qualification completed
Occupation group
Occupation
Employer
Are you a single parent/guardian?
Parent/Guardian Details

Parent/Guardian 2
Name

PrefixFirst NameLast Name
Relationship to student
Country of birth
Languages other than English spoken at home
Same address as Parent/Guardian 1?
Residential Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Postal address same as residential address?
Postal Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone

Area CodePhone Number
Work Phone

Area CodePhone Number
Mobile Phone
Email
Highest year level of schooling completed
Highest level of qualification completed
Occupation group
Occupation
Employer
Siblings/Other Children
Number of siblings / other children
Sibling/Child 1

First NameLast Name
Age
Current year level
Current School
Sibling/Child 2

First NameLast Name
Age
Current year level
Current School
Sibling/Child 3

First NameLast Name
Age
Current year level
Current School
Sibling/Child 4

First NameLast Name
Age
Current year level
Current School
Sibling/Child 5

First NameLast Name
Age
Current year level
Current School
Emergency Contact (other than parents/guardians)
Name

First NameLast Name
Phone
Relationship to student
Medical Information
Doctor
Doctor's phone
Past Diseases

If your child/children have had any of the following illnesses in the past 12 months
Allergies
If yes to allergies, please include details
If severe, include Anaphylaxis Action Plan

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Asthma
If yes to asthma, please include details and asthma action plan
Please upload Asthma Action Plan

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Chickenpox
If yes to chickenpox, please include details
Seizures
If yes to seizures, please include details
Heart Disease
If yes to heart disease, please include details
Measles
If yes to measles, please include details
Mumps
If yes to mumps, please include details
Please include any other illnesses we should be aware of.
Does your child have a disability due to a disease or accident?
Please specify your child's disability
Are your child's immunisation records up to date?
Please upload your child's immunisation records

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Is your child currently on any medication?
If yes, please enter details of medication
Additional Information

Our enrolment support policy requires that we identify special need and gifted students in order to provide the appropriate support. Therefore, please respond to the following information. If the answer to any of the below questions is 'yes' documentation is required.
Is your child a foster child?
If your child is a foster child, please include details.
Are there any custodial arrangements?
If there are any custodial arrangements, please include details.
Please upload any legal custodial documents.

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Has your child ever been suspended or excluded from school?
If your child has been suspended or excluded from school, please include details.
Does your child have a verified level of ascertainment?
If your child has a verified level of ascertainment, please include details.
Eg. Education Adjustment Plan
Does your child have a diagnosed disability?
If our child has a diagnosed disability, please include details.
e.g. ASD, HI, II, PI, SED, SLI
Has your child attended a primary school integration unit or special education facility?
If your child has attended a primary school integration unit or special education facility, please include details.
Does your child suffer from any chronic illness, e.g. asthma, chronic fatigue syndrome, glandular fever?
If your child suffer from any chronic illness, please include details. e.g. asthma, chronic fatigue syndrome, glandular fever.
Has your child experienced any emotional difficulties or had a traumatic experience that may have affected learning?
If your child has experienced any emotional difficulties or had a traumatic experience that may have affected learning, please include details.
Has your child received support for learning programs, e.g. gifted/talented, literacy & numeracy etc.?
If your child has received support for learning programs, please include details. e.g. gifted/talented, literacy & numeracy etc.
Has your child received support for any particular learning difficulties, e.g. language?
If your child has received support for any particular learning difficulties, please include details. e.g. language.
If yes, please include details.
Has your child been assessed or supported by any specialist services?
If your child been assessed or supported by any specialist services please include details.
If yes, please include details. e.g. Guidance officer or consultant, Occupational therapist, Child guidance centre, Speech therapist, Physiotherapist, Psychiatrist/counsellor/mental health, Specialist clinic (hospital/private), Audiology clinic, Family services, Visiting teacher service (hearing, vision or physical)
If your child been assessed or supported by any specialist services please all reports.

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Media Consent

By agreeing to this section you are giving permission to Lighthouse Christian School to take photographs of your child during school activities. If photographs are taken, they would be for the purpose of educating students, promoting the school or Christian education. By agreeing to this section you are also giving permission for Lighthouse Christian School to publish photographs and/or samples of your child’s work. If you give your permission, the school may publish photographs of your child and/or samples of work done by your child in a variety of ways. The publications could include, but are not limited to, school newsletter (online and in hard copy), internet websites, school annual reports and magazines and local newspapers. If published, third parties would be able to view the photographs and work. If you sign this page you agree to the following: The school is able to publish photographs of your child and samples of your child’s work as many times as it requires in the ways mentioned above. Your child’s photograph may be reproduced either in colour or in black and white. The school will not use your child’s photograph or samples of your child’s work for any purpose other than for the education of students or for the general promotion of Christian education and the school. Any photographs taken by the school will be kept for no longer than necessary for the above mentioned purposes and will be stored and disposed of securely. Whilst every effort will be made to protect the identity of your child, Lighthouse Christian School cannot guarantee that your child will not be able to be identified from the photograph or work. If you agree to permit the school to take photographs of your child and to publish photographs of your child or samples of your child’s work, in the manner detailed above, please sign the page below. If permission is given, it will remain effective until such a time when you advise the school otherwise.
Permission for Publication of Student's Work or Photographs
Permission for Publication of Student's Work or Photographs
Religious Information

Lighthouse Christian School is Baptist and Fundamental in our beliefs and standards. Admission to the school is on the condition that one or both parents are born again, practicing members of a Fundamental Evangelical Church. If you are not attending a Fundamental Evangelical Church, you are encouraged to attend one of the Sunday services at Lighthouse Baptist Church to ensure you are comfortable with our church environment. A percentage of our student body is comprised of students who do not meet the conditions of admission and are enrolled on a discretional basis. In these cases, parents and students are to be supportive of the beliefs and standards of Lighthouse Christian School.
Church Attending
Current Church
Father - Christian
Mother - Christian
Student - Christian
Financial Agreement
The Strategic Plan for Lighthouse Christian School identifies that the school is to conduct its relationships, programs and business dealings in a way that will demonstrate Christian values and ethics. Parents are likewise accountable to the school for prompt and full payment of fees in recognition of their acceptance of these terms at the time of enrolment of their students into the school. Information regarding fees is provided in the current Fee Structure document. Lighthouse Christian School requires all fees to be paid in a timely manner to assist with budgeting and operational aspects of the school. The school is a non-profit organisation and therefore payment of fees on time is critical to the effective provision of educational services. Full payment of fees invoiced is due within 28 days of receiving the account, unless prior arrangements are made with the school. Parents who are unable to pay within the specified time will be required to advise the school and have a payment schedule set up and signed before the due date of the unpaid invoice. Payments of these schedules can be made by Direct Debit, Internet Banking, EFTPOS, Cash or Cheque at the main office. Overdue accounts where satisfactory payments have not been entered into or adhered to incur late penalty fees. In the event of any account balance being outstanding at the end of the calendar year, the school reserves the right to make a service charge amounting to 10% of the outstanding balance on the account. Continual failure to maintain a suitable payment arrangement may jeopardise the ongoing enrolment of the student. Failure to come to a suitable payment arrangement may result in the matter being referred to a Debt Collection Agency or Solicitor. Costs and commissions associated with the collection will be added to the outstanding balance. Tuition fees cover the tuition and general administration fees and do not include the cost of textbooks or personal stationery. Our 2026 Schedule of Fees can be found here on our website.
- I/We agree to give the School Administration a full term's notice prior to withdrawal of my/our child/ren from the school or pay a full term's fee in lieu of such notice.
- I/We pledge to pay financial obligations to the school by the date due and understand that it may be necessary to withdraw my/our student if proper arrangements are not made on a past due account.
- I/We agree to pay the prescribed fees for the school year for the child this enrolment form is for.
Account charged to
Third Party Name
Email
example@example.com
Mobile
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please specify account arrangement with other
Other Name

First NameLast Name
Other Email
example@example.com
Other Mobile
Other Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Financial Agreement

By signing this form, you are declaring that you have read and agree to the Lighthouse Christian School Financial Agreement and Schedule of Fees to enrol your child at Lighthouse Christian School.
Parent/Guardian 1 Signature
Parent/Guardian 2 Signature
Enrolment Agreement
- I/We grant permission to access information from previous school/preschool/specialist service provider.
- I/We authorize the Principal or his representative to seek, at his discretion, medical attention for my/our child in the event of sudden illness or serious injury, when it is not expedient for the Principal or his representative to secure my/our verbal consent.
- I/We understand that teachers at Lighthouse Christian School will act in 'loco parentis' towards my/our children. Accordingly, I/We give consent to the staff to carry out this responsibility according to Biblical principles of love, care, teaching, training and correction. Discipline will be firm, but fair, and administered in a spirit of love.
- I/We agree to uphold and support the high academic standard of the school by providing a place at home for my/our student to study and giving encouragement in the completion of any homework or assignments.
- I/We appreciate the standards of the school and do not tolerate profanity, obscenity in word or action, dishonor to the Godhead and the Word of God or disrespect to the personnel of the school. I/We hereby agree to support all regulations of the school on the applicant's behalf and authorise the school to employ discipline as it deems wise and expedient for the training of my/our child.
- I/We understand that the school reserves the right to dismiss any student who fails to comply with the established regulations and discipline or whose financial obligations remain unpaid.
- I/We acknowledge that the only versions of the Bible to be used in the school and for school purposes is the King James Version, King James Easy Reader and Modern English Version.
- I/We have read and fully understand and agree with the Policies of Lighthouse Christian School.
- I/We declare that the details supplied in this form are complete and accurate. Failure to provide complete and accurate information during the enrolment process may affect your child’s enrolment and could result in the enrolment being declined. It is essential that all relevant details are disclosed to ensure we can best support your child’s learning journey.
Enrolment Agreement

By signing this form, you are declaring that you have read and agree to all the previous policies and agreements above to enrol your child at Lighthouse Christian School.
Parent/Guardian 1 Signature
Parent/Guardian 2 Signature
How did you hear about us?
Please indicate by checking the relevant boxes below:

Other
What is the main reason you have chosen to enrol your child at Lighthouse Christian School?

Application Fee

Lighthouse Christian School Application Fee

$75.00 AUD Quantity

Subtotal

Tax

Total

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Should be Empty:

Prep-Year 12 Enrolment Form

Parent/Guardian Details

Parent/Guardian Details

Siblings/Other Children

Emergency Contact (other than parents/guardians)

Medical Information

Past Diseases

Additional Information

Media Consent

Religious Information

Financial Agreement

Financial Agreement

Enrolment Agreement

Enrolment Agreement

How did you hear about us?

Application Fee*

Application Fee