ENROLMENT CONTRACTEnrolment Contract • August 1st, 2018
Contract Type FiledAugust 1st, 2018CLAIMANT PARENT / GUARDIAN 1 Name: DOB: / / CRN: Address: Postcode: Suburb: Tel: (H) (M) Country of Birth: Ethnic Group: Home Language: Employer/Education Institution: Work Ph: Occupation: Email: (Used for your CCS Statements)Work Status: Full Time ☐ Part Time ☐ Casual ☐ Shift Work ☐ Self Employed ☐ Looking for Work ☐ Student ☐Family Status: Female Sole ☐ Male Sole ☐ Two Parent Family ☐ Guardian ☐ Foster Parent ☐Reason for Care: 1 – Child at Risk ☐ 2 – Work/Study ☐ 3 – Social Respite ☐ PARENT / GUARDIAN 2 Name: DOB: / / CRN: Address: Postcode: Suburb: Tel: (H) (M) Country of Birth: Ethnic Group: Home Language: Employer/Education Institution: Work Ph: Occupation: Email: (Used for your CCS Statements)Work Status: Full Time ☐ Part Time ☐ Casual ☐ Shift Work ☐ Self Employed ☐ Looking for Work ☐ Student ☐ CHILD DETAILS MALE / FEMALE Name: DOB: / / CRN: Address: Postcode: Suburb: Country of Birth: Ethnic Group: Home Language: School Attending: Current School Year Attending (if applicable) I