Online Enrolment Form

Please ensure you get confirmation that this enrolment has been received

Please read carefully the Enrolment Procedures
   

Students Name

Gender
First Name(s)
Surname
Date of Birth
Current Age
At time of application
  Note: A copy of birth certificate/passport/citizenship is required for enrolment
Current School
Current Year Level
This year
Students Address
Include Emergency Rapid Number for rural addresses
  Please Note: Proof of "normal place of residence" under section 110A of the Education Act 1989 is required on enrolment and should be attached, eg power account. A copy of either a birth certificate or passport is required for enrolment.
Contact Phone
   

Mother's Details

Full Name
Occupation
Address
Phone (Home)
Phone (Work)
Phone (Mobile)
Email
   

Father's Details

Full Name
Occupation
Address Same as Mother's Address
Phone (Home ) Same as Mothers's Phone (Home)
Phone (Work)
Phone (Mobile)
Email
   

Guardian Details

 (If not Parent)
Full Name
Address
Phone (Home)
Phone (Work)
Phone (Mobile)
Email
   

Family Association With Hargest

 Note any family association with Hargest.
1. BROTHERS/SISTERS CURRENTLY ATTENDING
(names)
2. BROTHERS/SISTERS WHO ATTENDED IN PAST
(names)
3. PARENT WHO ATTENDED IN PAST
(names)
   
   

Health Information

e.g. medical conditions, disabilities (if likely to affect progress in school work or participation in physical activity, please state restrictions.
Permission to administer mild pain relief
   

Emergencies
Name of emergency contacts
other than parents or guardians

Emergency Contact 1
Full Name
Day Time Phone
Mobile

Emergency Contact 2
Full Name
Day Time Phone
Mobile
   

Transport
Transport to and from school will be
   

Ethnic Group
Ethnic Group
(please tick any that apply)

House Affiliations
Family Association with a House
(If known please tick)
   

Sporting / Cultural / Hobbies / Interests

Which sports/cultural activities/hobbies are you interested in?
   

Supporting Documents Required for Enrolment

Please upload the supporting documents
Either Birth Certificate, Passport or Citizenship. Proof of "Normal Place of Residence" e.g. power account etc
Application for enrolment indicates student and caregivers' acceptance of, and support for, our school values and rules as outlined in the Prospectus and accompanying Handbook.
Type ACCEPT into the field below if you accept these terms.