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Enrolment Form
Application for Enrolment in a Western Australian Public School
You must complete a separate enrolment application for each student. You need to complete an enrolment application form if:
You are enrolling a child in Kindergarten for the following year.
You are enrolling a child in Pre-primary for the following year.
You are enrolling a child in Year 7 at a new school for the following year.
You are enrolling a child transferring from another school in any year level.
Submitting an application for enrolment does not guarantee you will receive a place at the school.
The school will notify you in writing of the outcome of your application.
If you are unable to complete this application form, please contact the school for help.
For more information please visit the Department of Education
website
.
SCHOOL NAME
School name
PERSONAL DETAILS
(Please complete all details)
Child's surname
Legal surname (if different)
Given names
Date of birth (dd/mm/yy)
Date Format: MM slash DD slash YYYY
Gender
Male
Female
Not Specified
Parent Surname
Parent First Name
Title
Mr
Mrs
Ms
Residential Address (must be completed)
Postal Address (if different from residential address)
Telephone (Home)
Telephone (Work)
Mobile Phone No.
Email
Year Level enrolling in
Start Date: Beginning of school year 2021
Yes
No
Indicate start date
Date Format: MM slash DD slash YYYY
If applicable, year level your child is currently enrolled in (e.g. Year 6)
If applicable, name of school at which your child is currently or was last enrolled
Are there any Family Court Orders regarding the day to day or long term care, welfare and development of your child?
Yes
No
Does your child have an Australian Immunisation Register (AIR) Immunisation History Statement?
Yes
No
If your application is accepted, you will be asked to provide an Australian Immunisation Register (AIR) Immunisation History Statement that is not more than two months old.
Will there be any brothers or sisters attending this school?
Yes
No
Name/s and year levels
Is your child currently under suspension from a school?
Yes
No
Name of school
Is your child a temporary resident?
Yes
No
Date entered Australia if born overseas
Date Format: MM slash DD slash YYYY
Visa Sub Class No.
Visa Expiry Date
Date Format: MM slash DD slash YYYY
Does your child have health or medical condition, disability or additional needs?
Yes
No
This information will assist the school principal in planning to provide the best educational program for your child. Please provide details:
DECLARATION
The information and statements provided in this application for enrolment are true and accurate in relation to:
Name of person enrolling child
Title
Mr
Mrs
Ms
Relationship to child
Telephone (Home)
Mobile Phone No
Consent
*
If you are completing this form online and are unable to sign this form please check this box to confirm the above information is true and correct
Note: In the event that statements made in this application later prove to be false or misleading this application may be declined. Information supplied may need to be checked by the school.
Date
Date Format: MM slash DD slash YYYY
DOCUMENTS TO BE PROVIDED
The school will advise you of any additional documentation required.
Checklist: Check the box to indicate documents you can provide to support this application.
Select All
Birth Certificate or extract or other identity documents
Copies of Family Court or any other court orders (if applicable)
Proof of address
Information relating to suspensions
Information relating to health or medical condition, disability or additional needs (if applicable)
If your child is not a permanent resident of Australia, you must provide evidence of current visa subclass and previous visa subclass (if applicable, such as if current visa is a bridging visa)
Other
File Upload
Drop files here or
Accepted file types: jpg, pdf, docx, bmp, png, gif.
Please provide any other relevant information.
If your enrolment is accepted, the school will be in contact shortly for further information (medical, religious etc)
