Kenmore South OSHC 2021 Enrolment FormEnrolment Form • October 21st, 2020
Account Information Enrolment Type: ☐ Complying Written Agreement (Claiming CCS) ☐ Relevant Arrangement (Not Claiming) Account CRN: CRN Holder name: D.O.B: Child/ren Information Child/ren’s name Class D.O.B. Gender Child’s CRN 1 2 3 4 Parent/Guardian Information Full Name: Relationship to Child/ren: Address: Postcode: Mobile: Work: Home: Email: Authorisations (please tick): ☐ Collection ☐ Medical ☐ Emergency ☐ Excursion Full Name: Relationship to Child/ren: Address: Postcode: Mobile: Work: Home: Email: Authorisations (please tick): ☐ Collection ☐ Medical ☐ Emergency ☐ Excursion Is your child/children subject to a Family Court Order? ☐ Y ☐ N*if yes, please provide a certified copy of the order Is the child/children subject to a Domestic Violence Order? ☐ Y ☐ N*if yes, please provide a certified copy of the order Bookings Any changes made to these bookings must be submitted to KSSS OSHC in writing/emailed to enrolments.oshc@ksss-pnc.org.au Ca
P7|V1|20180323Enrolment Form • March 23rd, 2018
Utility bill (electricity, gas, water or telephone) Council tax bill Bank account or credit card statement Tenancy agreement
Enrolment FormEnrolment Form • March 25th, 2021
• Proof of in-zone residential address eg: sale & purchase agreement, rates/water demand, power bill - no more than 3 months old from date of admission
ENROLMENT FORMEnrolment Form • March 22nd, 2019
Please read each section carefully before completing and signing as this form is also your Complying Written Agreement (CWA) with Northern Rivers Community Gateway Inc
Enrolment FormEnrolment Form • February 15th, 2019
Are there any medical conditions you would like to bring to our attention? Epilepsy? Sight? Hearing? Allergies? Difficulties at Birth?
Enrolment FormEnrolment Form • April 28th, 2023
SCHOOL INTERVIEW ENROLMENT FORM TO BE COMPLETED BY PRINCIPALEnrolment Form • October 18th, 2021
Interview Date: Interview Time: Enrolling Officer: Student’s Full Name: Date of Birth Grade Level Class allocated EMP Check: Y/ N Enrolment Details Enrolment agreement signed by student/parent Student Resource Scheme (Yellow Form) Religious Ed permission form signed (Grey Form) School Photo (Pink Form) Lobley Park (Pink Form) First Aid Permission (Pink Form) Internet Agreements (Pink Form) Online Services (Blue Form) Media Permission (Green Form) (To give full Media approval you are agreeing that their Full Name with photo can be used, otherwise there is NO Media is allowed)Email details provided for report cards Previous Educational Setting and Yr Level: Referral SNAC Chaplain Social / Emotional Enrichment Disability Learning Other Disability Cultural Background / EALD Educational Needs Report Available: Yes/No Favourite subject: Most difficult subject: Reading level: Instrumental music: Other: Special Circumstances Including Medical Issues Sig
ENROLMENT FORMEnrolment Form • May 13th, 2024
Certified copy of learner’s original Birth certificate Copy of both parents’ / legal guardian’s ID documents Copy of Immunisation certificate
For office use onlyEnrolment Form • May 23rd, 2018
Enrolment Agreement□ Questionnaire□ Enrolment agreement signed□ Acceptable use of ICT facilities and devices signed□ Student Ipad agreement signed□ Voluntary recharge Request signed□ Image Consent form signed Enrolment Form□ Completed and signed Identification□ Sight & copy original birth certificate / Australian Residency documentation
Pupil Details (One form per pupil)Enrolment Form • March 13th, 2018
Student's legal first names Legal Surname Student’s preferred first name Preferred Surname Ethnicity (up to three) Iwi student belongs to - if applicable (up to three)
To enrol you must complete this form in BLOCK CAPITALS. All fields are mandatoryEnrolment Form • January 17th, 2019
unless otherwise stated. Enrolments will only be completed once payment and any necessary proof of benefits are received. Once completed and Section 10 is signed please return this form to Client Services (address at bottom of form).
ENROLMENT FORMEnrolment Form • September 3rd, 2018
Student(s) Details Surname: Given Name(s): 1. Date of Birth: 1. 2. 2. 3. 3. Parent / Guardian Details Parent / Guardian Name: Address: Postcode: Telephone Home: Telephone Mobile: Email Address: Name of Doctor: Telephone: Does your child(ren) have any medical conditions eg. Asthma? If yes, please list: Does your child(ren) have any learning difficulties? If yes, please list: How did you find us? Medical Authority and Terms & Conditions Agreement1) Term fees must be paid in full prior to the commencement of each term program.2) In the event of enrolment cancellation after the Term has commenced, a deposit of $40 (or the cost of 2 weeks lessons) will not be refunded.3) Term fees, not paid by the end of the first week of term commencing will incur a $10 late surcharge.4) In the event of absence, a maximum of TWO missed lesson(s) may be made up in the same term, subject to availability, when parent/guardian has given 24 hours notice of child(ren)’s absence from class and are up to date wi
ENROLMENT FORM 2016-2017Enrolment Form • October 3rd, 2016
Inform the school immediately of any changes of personal details, medical conditions or circumstances, including addresses, phone numbers etc;
Enrolment FormEnrolment Form • December 8th, 2022
SCHOOL INTERVIEW ENROLMENT FORM TO BE COMPLETED BY PRINCIPALEnrolment Form • May 18th, 2020
Interview Date: Interview Time: Enrolling Officer: Student’s Full Name: Date of Birth Grade Level Class allocated EMP Check: Y/ N Enrolment Details Enrolment agreement signed by student/parent Student Resource Scheme (Yellow Form) Religious Ed permission form signed (Grey Form) Lobley Park (Pink Form) First Aid Permission (Pink Form) Internet Agreements (Pink Form) Media Permission (Green Form) (To give full Media approval you are agreeing that their Full Name with photo can be used, otherwise there is NO Media is allowed)Email details provided for report cards Previous Educational Setting and Yr Level: Referral SNAC Chaplain Social / Emotional Enrichment Disability Learning Other Disability Cultural Background / EALD Educational Needs Report Available: Yes/No Favourite subject: Most difficult subject: Reading level: Instrumental music: Other: Special Circumstances Including Medical Issues Significant Medical Issues: Yes/No (List Below) Family Inf
