Pre-Kindy to Primary Application for Enrolment Form 2024

Student Information

Student Name(Required)

Given Names Surname

Date of Birth(Required)

Gender(Required)

Female

Male

Other

Residential Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

Visa Information

Permanent Resident of Australia?(Required)

Yes

No

Date of Arrival in Australia(Required)

VISA Subclass(Required)

Immunisation Information

Is your child Immunised ? Your child must be immunised to attend unless there is a medical exemption.(Required)

Yes

No

Do they have a medical exemption?(Required)

Yes

No

What is the reason for the exemption?(Required)

Sibling Information

This includes current and past Eton Farm Primary School students.

Sibling Name(Required)

Family Circumstances

Who does your child live with?(Required)

Both parents

Mother only

Father only

Shared between Mother and Father

Other

Percentage of time living with Mother(Required)

Percentage of time living with Father(Required)

Parent/Carer 1

Parent/Carer Name(Required)

Given Names Surname

Relation to child(Required)

Mobile Phone Number(Required)

Home Phone Number(Required)

Email Address(Required)

Residential Address(Required)

Street Address City State / Province / Region ZIP / Postal Code Country

Postal Address(Required)

Same as Residential Address

Different to Residential Address

Postal Address(Required)

Street Address City State / Province / Region ZIP / Postal Code Country

Parent/Carer 2

Parent/Carer Name(Required)

Given Names Surname

Relation to child(Required)

Home Phone Number(Required)

Mobile Phone Number(Required)

Email Address(Required)

Residential Address(Required)

Street Address City State / Province / Region ZIP / Postal Code Country

Postal Address(Required)

Same as Residential Address

Different to Residential Address

Postal Address(Required)

Street Address City State / Province / Region ZIP / Postal Code Country

Non-Refundable Application Fee

We charge a non-refundable application fee of $75

Select your preferred payment method(Required)

Bank Transfer

Cheque

If you would like to pay via bank transfer, please use the following information

Name: Eton Farm Education Inc
BSB: 066 131
Account: 10729 689
Reference: Child's Surname

If you'd like to pay by cheque, please make it payable to

Payable to Eton Farm Education Inc, PO Box 121 Serpentine WA 6125

Agreement

I/we understand and accept that the completion of this application to enrol form does not guarantee a place at Eton Farm Primary School.
I/we understand that the application fee of $75 is non-refundable, regardless of the outcome.
I/we have completed this application form fully and to the best of my/our knowledge and that false, misleading or incomplete information on this form may entitle Eton Farm Education Inc to refuse or terminate this enrolment application.

Do you agree to the statement above?(Required)

I agree

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Pre-Kindy to Primary Enrolment Form 2024

Student Information

Enrolment Group

Use this guide to check what year level your child can go into

Visa Information

Immunisation Information

Sibling Information

Family Circumstances

Your child's individual needs

Parent/Carer 1

Parent/Carer 2

Non-Refundable Application Fee

If you would like to pay via bank transfer, please use the following information

If you'd like to pay by cheque, please make it payable to

Agreement

Our Classes

Getting Started

Eton Farm PS