*
Required
Please submit a separate Registration Form for each child. Parent information fields need only be completed once.
Full name of person filling out this form
*
required
Email Address for Confirmation Email
*
required
Student Information
Student Given Names
*
required
Preferred Name (if applicable)
Student's Surname
*
required
Date of Birth
*
required
dd/mm/yyyy
Sex*
Male
Female
Current School
Nationality
Australian Citizen
Yes
No
Permanent Resident
Yes
No
Religious Denomination
Is the student Aboriginal or Torres Strait Islander origin?
No
Yes - Aboriginal
Yes - Torres Strait Islander
Yes - Both Aboriginal and Torres Strait Islander
Proposed Calendar Year of Entry
Term of Entry
-- Please select --
Term 1
Term 2
Term 3
Term 4
Academic Year of Entry
-- Please select --
Preschool
Kindergarten
Year 1
Year 2
Year 3
Year 4
Year 5
Year 6
Status of Entry
Day Student
Boarder (Girls from Year 4)
Applicant Lives with
-- Please select --
Both Parents
Parent 1
Parent 2
Guardian
Other
If other
Parents' Marital Status
*
required
Please Select…
-- Please select --
Married
De facto
Separated
Divorced
One deceased
Single
Siblings enrolled (current)
Siblings enrolled (past)
Parent 1 - Past student?
Yes
No
If so, years attending?
Parent 2 - Past Student?
Yes
No
If so, years attending?
Other family connection
Parent 1 / Guardian 1 Information
Title
Given Names
Surname
Home Address
Suburb/City
State
Postcode
Postal Address: (if different)
Telephone Home
Mobile
Email
Occupation
Employer
Business Address
Business Telephone
Signature: (type name)
Date
(mm/dd/yyyy)
Parent 2 / Guardian 2 Information
Title
Given Names
Surname
Home Address
Suburb/City
State
Postcode
Postal Address: (if different)
Telephone Home
Mobile
Email
Occupation
Employer
Business Address
Business Telephone
Signature: (type name)
Date
(mm/dd/yyyy)
General
How did you hear about the School?
Former student
Advertising
Always Known
Word of Mouth
Other
How would you like to pay the registration fee?
Credit Card
Cheque/Money Order
Direct Deposit
Please send a confirmation email to the address below*: