Student Registration Form

Student Details:

Student's Name

Gender

Male Female

(Chinese Name) optional

Date of Birth

Address

City

Postcode

State

Mobile Phone No.

Home Tel No.

Name of School

Parent Details:

Parent's Name

Relationship

Address

City

Postcode

State

Home Tel No.

Work Office No.

Mobile Phone No.

Mobile Phone No. 2

Apply to Program of:

Standards / Year

Subjects

Standards / Year

Subjects

Standards / Year

Subjects

Standards / Year

Subjects

Standards / Year

Subjects

Please list any allergies or health conditions we should be aware of:

In case of an emergency please contact:

Name

Relationship

Phone Number:

Student Registration Form

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