Student Insurance & P&C Membership

Central Tilba Public School - Student Insurance & P&C Membership
Dear Parents & Caregivers,

Please use this form to submit payment for your child's Student Insurance and your P&C Membership for the year. Student Insurance provides coverage for accidents and injuries during school-related and non school-related activities anywhere in Australia, while P&C Membership helps support school initiatives, events, and resources that benefit all students.

Your contribution ensures a safer and more enriched school experience for your child and the wider school community.

Thank you for your support!

Central Tilba P&C Team.
Your Name

First NameLast Name
Your E-mail
example@example.com
Mobile Number
Please enter a valid phone number.Format: 0000 000 000.
Address

Street Address

Street Address Line 2

CityState / Province

Post Code
Student's Name #1

First NameLast Name
Student's Name #2

First NameLast Name
Student's Name #3

First NameLast Name

Insurance & Membership

Student Insurance. Provides coverage for accidents and injuries during school-related and non school-related activities anywhere in Australia - select Qty per child

Student Insurance

Provides coverage for accidents and injuries during school-related and non school-related activities anywhere in Australia - select Qty per child

$15.00 AUD Quantity

P&C Membership. Helps support school initiatives, events, and resources that benefit all students - select Qty per parent

P&C Membership

Helps support school initiatives, events, and resources that benefit all students - select Qty per parent

$10.00 AUD Quantity

Total

Credit Card

Should be Empty: