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East Waikiki Primary School

Online Enrolment application

- Step 1 of 2

SCHOOL NAME

School name *

PERSONAL DETAILS (PLEASE COMPLETE ALL DETAILS)

Child's name *

First

Middle

Last

Child's legal surname (if different)

Date of birth (date/month/year) *

Gender *

Male
Female
Not specified

Parent Full Name *

First

Last

Title of Parent *

Mr
Mrs
Ms
other

Residential Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Postal Address if different from above details

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Year Level Enrolling in *

Example: Kindergarten, Pre Primary

Start Date - Beginning of the year 2020 *

YES
NO

If NO indicate start date (date/month/year)

If NO indicate start date

Example: DATE, MONTH YEAR

If applicable, year level your child is currently enrolled in (e.g. Year 6)

Are there any family court orders regarding the day to day or long term care, welfare and development of your child?

YES
NO

Does your child have an Australian Immunisation Registar (AIR) Immunisation History Statement? *

YES
NO

If your application is accepted, you will be asked to provide an Australian Immunisation Register (AIR) Immunisation History Statement that is not more than two months old.

Will there be any brothers or sisters attending this school?

YES
NO

Include name/s and year level

Is your child currently under suspension from a school?

YES
NO

If YES, name of school

Is your child a temporary resident?

YES
NO

If YES please indicate the following information

Date entered Australia if born overseas

Specify date entered Australia if born overseas. EG: DATE MONTH YEAR

Visa Sub Class No.

Does your child have health or medical condition, disability or additional needs? *

YES
NO

This information will assist the school principal in planning to provide the best educational program for your child. Please provide details: *

DOCUMENTS TO BE PROVIDED

1. Birth Certificate or extract or other identity documents

Birth Certificate or extract or other identity documents *

YES
NO

File Upload *

Click or drag a file to this area to upload.

Upload a file of your child's birth certificate or extract or identity documents

2. Copies of Family Court or any other court orders

YES
NO

File Upload

Click or drag files to this area to upload. You can upload up to 4 files.

Upload copies of your Family Court order documents

3. Proof of Address *

YES
NO

File Upload

Click or drag files to this area to upload. You can upload up to 2 files.

Upload the relevant documents for proof of address

4. Information relating to suspensions *

YES
NO

If Applicable

File Upload

Click or drag files to this area to upload. You can upload up to 2 files.

5. Informations relating to health, medical condition, disability or additional needs *

YES
NO

File Upload

Click or drag files to this area to upload. You can upload up to 2 files.

DECLARATION

The information and statements provided in this application for enrolment are true and accurate in relation to:

Name of person enrolling child *

Title *

Mr
Mrs
Ms
Other

Relationship to child *

(Independent minors and those aged 18 years or older may apply on their own behalf)

Telephone (Home) *

Telephone (Work)

Mobile phone number *

Signature *

By ticking this box I am confirming the above is true and correct

NOTE: Children may be enrolled in Kindergarten in one school only, either public or private. NOTE: In the event that statements made in this application later prove to be false or misleading, a decision on this application may be reversed. Information supplied may need to be checked by the school.

Date / Time of application *

Date

Time

Name

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Our Details

21 Gibb Road Cooloongup WA 6168

Phone: 08 9591 6600

Eastwaikiki.PS@education.wa.edu.au

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NOW IS THE TIME TO
ENROL FOR 2021

Going to school every day gives your child the best opportunities in life.

If your child is four years old by 30 June 2021, you can enrol them in Kindergarten, or if they are five years old by 30 June 2021, you can enrol them in Pre Primary.

Apply to enrol your child in Kindergarten

FIND OUT MORE ...

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