Enrolment Form - 2018


Reg. No. 12017063

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Personal Details






Contact Details


If attending Mainstream School


Medical Details


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Medical Declaration

In the event of illness or injury to my child while at school or an excursion, or travelling to or from school, I/We authorise the principal or a senior staff member, if/where it is impossible to contact me, to consent to emergency medical treatment as is necessary by a qualified medical practitioner.

Father's/Male Guardian's Details

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Mother's/Female Guardian's Details

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Emergency Contact

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