Registration: Greek School Registration Form Student

USER INFORMATION
Title:
Student First Name:
Student Last Name:
Address:
City:
State:
Post Code:
Country:
Email:
Confirm Email:
Tel (Home) :
Place of Birth:
Date of Birth:
Sex Male / Female :
  Male    Female  
Tel (work) :
Mobile:
Father's Name :
Mother's Name :
Mainstream School where the student is enrolled :
1
School Address:
Suburb:
Student's Year Level at Mainstream School :
Greek School student is enrolling in :
  Adelaide HS  
  Allenby Gardens PS  
  Allenby Gardens PS  
  Clapham PS  
  Rose Pk PS  
  Lockleys North PS  
  St John Bosco School  
  Sturt Street Comm  
  Sturt Street Comm Saturday  
  Unley PS  
  Olympic House  
  Vale Park Primary School  
Student's Year Level at Greek :
  R    Yr1    Yr2    Yr3    Yr4    Yr5    Yr6    Yr7    Yr8    Yr9    Yr10    Yr11    yr12    SACE stage 1    SACE stage 2    Adult  
SACE Registration Number (if applicable):
Greek Language Class Teacher :
Emergency Contact Name:
Emergency Address:
Emergency Phone (home):
Emergency Phone (work):

Medical Information (Please include medication needed to be taken at school)
Does the child have a diagnosed medical condition which might need first aid? :
  Yes    No  
Does your child need extra routine health support? (e.g. Support with medication management, continence care, psychiatric issues) :
  Yes    No  
There are times when children may be photographed or filmed: e.g. special events, newspaper articles, television news items.:
  Yes    No  
1
Family Court Orders
Are there any current Court orders relating to this student?:
  Yes    No  
Signature of Parent/Caregiver 1:
1
Signature of Parent/Caregiver 2:
1
Enter the Security Code:
I agree to the terms and conditions:
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