Enrolment Form

PARENT INFORMATION

Parent 1 (or Guardian)
Title*
(Mr, Mrs, Ms, Dr)
Family Name*
Given names*
Address, if different from student's address

Street Address

Street Address Line 2

SuburbState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Mobile*
Email*
example@example.com
Occupation*
First language spoken at home*
Other languages spoken
PARENT INFORMATION

Parent / Guardian 2 - This application is a legally binding agreement and requires the details of both parent/guardian (s). If you require assistance, save the enrolment form and call +61 3 5572 1355 .
Title *
(Mr, Mrs, Ms Dr)
Family name*
Given names*
Address, if different from students address

Street Address

Street Address Line 2

SuburbCountry

Postal / Zip Code
Phone Number

Area CodePhone Number
Mobile*
Email*
example@example.com
Occupation*
First language spoken at home*
Other languages spoken
CUSTODY ARRANGEMENTS
Are there any custody orders relating to the child/ren?*

Yes (If yes, provide the original or certified copies of the custody or court order documentation).No

FAMILY INFORMATION
Name of siblings and current school/s
I.e. Jack Smith, age 3, N/A
Are any family members current or past students of The Hamilton and Alexandra College
(If past student, please state maiden name, House and year they left school)

BILLING INFORMATION

School fee accounts and statements should be addressed to:
Name*

Title Mr Mrs Ms DrGiven namesFamily name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

CONDITIONS OF ENROLMENT
I/We the parent(s) or guardian(s) agree as follows (and where this application is signed by more than one parent/guardian, each of us is bound by these conditions separately and jointly):
1. The parent(s)/guardian(s) that sign below must pay to The Hamilton and Alexandra College (“the College”) such tuition and boarding fees and charges for the education and maintenance of, and for the supply of goods and services to the Student, as outlined in the College’s Fee Policy and fee schedule (which are fixed by the Board each year) . The College’s current Fee Policy and fee schedule can be found on our website.
2. As specified in the College’s Fee Policy, parents/guardians have the choice whether to pay the fees and charges in four-term payments (which are each payable in advance by the first day of the Term to which they relate), or by monthly direct debit of 10 instalments from January to October (inclusive). The College reserves the right to remove or refuse entry to any student whose fees are not paid in accordance with this requirement. If the parent(s)/guardian(s) of the student fails to pay the fees and charges when due, the parent(s)/guardian(s) are also liable for and must pay the College for all costs (including all legal costs on a full indemnity basis and any collection agency costs and commissions) incurred by the College in connection with or in relation to recovery of the overdue amounts.
3. Without prejudice to the requirements of Condition 2, a late payment fee will be charged on any overdue account at rates specified in the College’s Fee Policy (as determined from time to time by the Board).
4. If parent(s)/guardian(s) wish to remove their child from the College, written notice of withdrawal is required no later than close of business 3.30pm on the first day of the student’s intended final Term at the school, otherwise, half of that Term’s fees will be charged.
5. The College has the right to determine the appropriate year level of a student’s entry, and progression is dependent upon satisfactory performance in the opinion of the College.
6. I/We agree to fulfil the expectations of the College as outlined in the policies of the College, including the Enrolment Policy and Code of Conduct, which are available on the College’s website.
7. The College reserves the right to discipline, suspend or expel any student whose lack of academic endeavour or whose behaviour is considered by the Principal to be unacceptable.
8. It is the responsibility of the parent(s)/guardian(s) to advise the College of any changes in family circumstances affecting the life of the student at the College.
9. I/We are aware of the College’s Outdoor Education program and agree to allow our child to attend all compulsory camps.
10. I/We confirm that in the event of illness or injury to my child whilst at College, or on an excursion or co-curricular activity, or travelling to or from the College, I authorise the Principal or senior staff member in charge of my child, where it is impracticable to communicate with me, to consent to emergency medical arrangements on my behalf as are deemed necessary by a qualified medical practitioner. Such consent includes anaesthetics, blood transfusions and operations.
11. I/We will provide accurate and up-to-date information (including health and medical information, emergency contact details and personal information) regarding the student as required by the College from time to time and will promptly advise the College of any changes to such information. If the College does not receive any updates to such information after requesting an update to the information, the College will deem the information already held as current and correct. I/We consent in our own capacity, and on behalf of the student, to the College’s collection, use and handling of such information (including health information) in accordance with our Privacy Policy, which is available on our website: https://hamiltoncollege.vic.edu.au/.
12. I/We consent to the College communicating with my child’s current school (where appropriate) for information about developmental needs.
13. I/We confirm that all information provided is complete and accurate.
14. Unless I/we have expressly opted out, I/we consent to photos/videos of our child being used in accordance with the College’s Image Use Policy (which is included in this enrolment form).
15. I/We are responsible for familiarising themselves with all matters related to their child’s education. Apart from any formal arrangement that has been agreed between the parent(s)/guardian(s) and the College, the College will be entitled to assume that:
1. a communication or information conveyed to one parent/guardian is a communication to all parents/guardians; and
2. a document that has been signed by one parent/guardian is taken to have been read, understood and agreed to by all parent(s)/guardian(s).
SIGNATURES OF BOTH PARENTS/GUARDIANS
Parent 1*

PrefixFirst NameLast Name
Signature*

Clear
Parent 2*

PrefixFirst NameLast Name
Signature*

Clear
*This application is a legally binding agreement and requires the signature of both parents/guardians.
If only one parent is the signatory, they will be solely responsible for paying all school accounts. Written consent to the enrolment must still be obtained from the student’s other parent or guardian where one exists and is contactable.

PRIVACY POLICY
PRIVACY

The Hamilton and Alexandra College collects personal information, including sensitive information, about students and their parent(s)/guardian(s) before and during the course of a student’s enrolment at the College. The primary purpose of collecting this information is to enable the College to assess your enrolment application and, if we accept your child’s enrolment, to provide schooling for your child and administer their enrolment at the College. This includes satisfying the needs of parent(s)/guardian(s) and the needs of the student throughout their time at the College.

If you choose not to answer any of the questions in this enrolment form we may take this into account when considering your child’s enrolment application (and this may result in the application being unsuccessful).

The College may provide the personal information it collects about students and parents to third parties such as service providers that assist us with our operations (such as our IT service providers).

The College does not routinely disclose personal information to overseas recipients in the course of ordinary, day-to-day operations.

Our Privacy Policy explains how you can seek to access or correct any personal information we hold about you, how to complain about a privacy breach and how we will deal with a privacy complaint. If you have any questions, concerns or complaints about how we handle your personal information, please contact the College’s Business Manager

T: 03 5572 1355
E: businessmanager@hamiltoncollege.vic.edu.au

Australian Education Regulation 2013

ENROLMENT FEE PAYMENT
Australian Resident

1. This completed application form (one per child)
2. A copy of the child’s birth certificate
3. Enrolment fee of $200* (per child) by credit card or bank transfer
4. Most recent school reports
5. Most recent NAPLAN results
6. Medical reports (if applicable)
7. Specialist reports (if applicable)
8. Copy of Immunisation Certificate
9. Copy of Custody Orders (if applicable)

Overseas Resident

1. This completed application form (one per child)
2. A copy of the child’s birth certificate and passport
3. A deposit of AUD $5,000 which includes an enrolment fee of AUD $1,000*
4. Most recent school reports
5. Medical reports (if applicable)
6. Specialist reports (if applicable)
7. Copy of Custody Orders (if applicable)
* non-refundable
PAYMENT - Australian student*

Credit Card
PAYMENT - International student*

Bank transfer
Fees:
Australian Resident - $200 AUD Enrolment Fee
Overseas Resident - $5,000 AUD Application Deposit (includes $1,000 Enrolment Fee)

Cheques payable to The Hamilton and Alexandra College
Application Fee:
Australian Resident - $200 AUD
Overseas Resident - $1000 AUD

Bank Details

The Hamilton and Alexandra College
Bendigo Bank
BSB: 633-000
Account: 152753042

Application Fee*

Application Fee - Australian Resident

$200.00AUD

Total

$0.00AUD

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Signature

Clear

IMAGE USE POLICY
From time to time, photos and videos of students may be taken by the College’s staff (or by professional photographers acting on behalf of the College) for use in administering and promoting the College.

These photos and videos can include, for example, photos for student ID cards, individual student and class photographs, photos and videos of student events (e.g. classroom activities, camps or excursions) and to commemorate student achievements (e.g. academic prizes, sporting competitions and musical or theatrical performances), photos and videos taken for staff training purposes, and promotional photos and videos published in our College newsletter, advertising, brochures, prospectus, websites and social media pages.

Where photos or videos are used in promotional materials, the students’ names will not usually be included (unless for use in press-related stories, for example an interview with the student).

We respect the decision of any parents / guardians who wish to opt-out of having their child’s image appearing in the publications or media referred to above.

If you opt-out, we will use reasonable endeavours to not publish your child’s image in College publications and media (which you agree may be achieved by obscuring the image of your child in any such publications/media) and, where practicable to do so, your child will be asked to step out of any group photos or videos, and will not be invited to provide testimonials and interviews.

If at any time you have any concerns or queries regarding the use of your child’s image, or wish to change your permission, please contact the Business Office at the College.

*Once students are enrolled, parent/guardian (s) will receive an email from Pixevety to complete a login and member consent form. Pixevety is a consent-driven photo management system and will provide different usage options for the future.
Student Name*

Given/s NameLast Name
* permission for the College to use images of my child as explained in the College’s Image Use Policy (read left). The College requires a signed permission form for each child.
Parent / Guardian Name*

Given Name/sLast Name
Signed*

Clear

ENROLMENT FORM

APPLICATION FOR ENROLMENT

PARENT INFORMATION

PARENT INFORMATION

CUSTODY ARRANGEMENTS

FAMILY INFORMATION

BILLING INFORMATION

CONDITIONS OF ENROLMENT

SIGNATURES OF BOTH PARENTS/GUARDIANS

PRIVACY POLICY

PRIVACY

ENROLMENT FEE PAYMENT

Australian Resident

Overseas Resident

Bank Details

STUDENT PROFILE

STUDENT PROFILE

PARENT/GUARDIAN DETAILS

Group 1: Senior management in large business organisation, government administration and defence, and qualified professionals.

Group 2: Other business managers, arts/media/sportspersons and associate professionals.

Group 4: Machine operators, hospitality staff, assistants, labourers and related workers.

IMAGE USE POLICY

CHECKLIST