Pre School Enrolment - Alphington Grammar School

StudentPre-SchoolParentEmergency ContactCorrespondence

Pre-School Student Details

Victorian Student Number:

Victorian Student Number Status:

VSN Known
VSN Unknown
VSN Not issued

Given Name: *

Family Name: *

Preferred Name:

Date Of Birth (dd/mm/yyyy):

Nationality: *

Is there a court order in relation to this student?:

Entry Year: *

Entry Year Level: *

Language(s) Spoken:

Present School:

Country Of Birth: *

Religion:

Family Member Past Student:

Indigenous/Torres Straight Islander?

Student Lives With:

Both Parents
Mother
Father
Other

Additional Information:

Student Address Details

Address Type: *

Street: *

Suburb: *

Postcode: *

Country: *

Student Contact Details

Name: *

Home Number:

Work Number:

Mobile Number: *

Fax:

Email Address: *

Work Email Address:

Notes:

Siblings

Given Name:

Family Name:

Current Student:

Application Submitted:

Given Name:

Family Name:

Current Student:

Application Submitted:

Given Name:

Family Name:

Current Student:

Application Submitted:

Pre School Section

Preferred Days Of Week:

Mon - Fri
Monday
Tuesday
Wednesday
Thursday
Friday

Option:

Not Specified
Option 1: Full Time- Monday, Tuesday, Wednesday, Thursday, Friday
Option 2: 4 days - Monday, Tuesday, Wednesday, Thursday
Option 2: 4 days - Monday, Tuesday, Thursday, Friday
Option 3: 4 days - Tuesday, Wednesday, Thursday, Friday
Option 5: 3 days - Monday, Wednesday, Frida

After Care Section

Will the student be attending aftercare:

Not Attending
Yes - I dont have a Child Care Benefit(CCB) number
Yes - Child Care Benefit number specified below
No
Unsure

Child Care Benefit Number:

Father/Parent 1

Title:

Given Name:

Family Name:

Preferred Name:

Date Of Birth (dd/mm/yyyy):

Nationality:

Language:

Languages Spoken:

Occupation:

Address Details

Address Type: *

Street: *

Suburb: *

Postcode: *

Country: *

Contact Details

Name: *

Home Number:

Work Number:

Mobile Number: *

Fax:

Email Address: *

Work Email Address:

Notes:

Mother/Parent 2

Title:

Given Name:

Family Name:

Preferred Name:

Date Of Birth (dd/mm/yyyy):

Nationality:

Language:

Languages Spoken:

Occupation:

Address Details

Address Type: *

Street: *

Suburb: *

Postcode: *

Country: *

Contact Details

Name: *

Home Number:

Work Number:

Mobile Number: *

Fax:

Email Address: *

Work Email Address:

Notes:

Emergency Contact 1

Name: *

Home Number:

Work Number:

Mobile Number: *

Fax:

Email Address: *

Work Email Address:

Notes:

Emergency Contact 2

Name: *

Home Number:

Work Number:

Mobile Number: *

Fax:

Email Address: *

Work Email Address:

Notes:

Instructions For School Correspondence

Student Reports

Father

Both Parents

General Correspondence

Mother

Guardian

Both Parents

Mother

Guardian

Father

Billing & Accounts

Both Parents

Father

Guardian

Mother

Pre-School Enrolment Form

Pre-School Student Details

Victorian Student Number:

Victorian Student Number Status:

Given Name: *

Family Name: *

Preferred Name:

Date Of Birth (dd/mm/yyyy):

Nationality: *

Is there a court order in relation to this student?:

Entry Year: *

Entry Year Level: *

Language(s) Spoken:

Present School:

Country Of Birth: *

Religion:

Family Member Past Student:

Indigenous/Torres Straight Islander?

Student Lives With:

Additional Information:

Student Address Details

Address Type: *

Street: *

Suburb: *

Postcode: *

Country: *

Student Contact Details

Name: *

Home Number:

Work Number:

Mobile Number: *

Fax:

Email Address: *

Work Email Address:

Notes:

Siblings

Given Name:

Family Name:

Current Student:

Application Submitted:

Given Name:

Family Name:

Current Student:

Application Submitted:

Given Name:

Family Name:

Current Student:

Application Submitted:

Pre School Section

Preferred Days Of Week:

Option:

After Care Section

Will the student be attending aftercare:

Child Care Benefit Number:

Father/Parent 1

Title:

Given Name:

Family Name:

Preferred Name:

Date Of Birth (dd/mm/yyyy):

Nationality:

Language:

Languages Spoken:

Occupation:

Address Details

Address Type: *

Street: *

Suburb: *

Postcode: *

Country: *

Contact Details

Name: *

Home Number:

Work Number:

Mobile Number: *

Fax:

Email Address: *

Work Email Address:

Notes:

Mother/Parent 2