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How many children in your family?

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Child One*

First Name*

Last Name*

Gender
MaleFemale

Date of Birth*

Proposed Year Level of entry*

Proposed Year of entry*

Current School (Type 'NA' if yet to commence)*

Application for enrolment submitted?
Application for enrolment submitted?

Child Two*

First Name*

Last Name*

Gender
MaleFemale

Date of Birth*

Proposed Year Level of entry*

Proposed Year of entry*

Current School (Type 'NA' if yet to commence)*

Application for enrolment submitted?
Application for enrolment submitted?

Child Three*

First Name*

Last Name*

Gender
MaleFemale

Date of Birth*

Proposed Year Level of entry*

Proposed Year of entry*

Current School (Type 'NA' if yet to commence)*

Application for enrolment submitted?
Application for enrolment submitted?

Child Four*

First Name*

Last Name*

Gender
MaleFemale

Date of Birth

Proposed Year Level of entry*

Proposed Year of entry*

Current School (Type 'NA' if yet to commence)*

Application for enrolment submitted?
Application for enrolment submitted?

Child Five*

First Name*

Last Name*

Gender
MaleFemale

Date of Birth*

Proposed Year Level of entry*

Proposed Year of entry*

Current School (Type 'NA' if yet to commence)*

Application for enrolment submitted?
Application for enrolment submitted?

Parent/Guardian One*

First Name*

Last Name*

Email*

Contact Phone Number*

Home Address*

Parent/Guardian Two

First Name

Last Name

Email

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Home Address

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Adult Two

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Last Name

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Check if attending

Relationship*

Adult Three

First Name

Last Name

Check if attending

Check if attending

Relationship*

Adult Four

First Name*

Last Name*

"Check if attending"

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Relationship*

Number of children attending.*
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Child One

First Name*

Last Name*

Child Two

First Name*

Last Name*

Child Three

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Child Four

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