After School Care Application Form

If you are enrolling more than one child, please use a separate form.

Student Details
Child’s Name:*
Child’s Class:*
Please Select an Option
Days Required (If casual user)
Parent/Caregiver’s Name:*
Parent/Caregiver’s email:*
Address:*
Home phone:*
Mobile:*
Work Contact:*
People authorised to pick up your child.
Name:*
Mobile*
Name:
Mobile
Name:
Mobile
Medical Information
Doctor’s Name:*
Doctor’s Number:*
Has your daughter had the following?*
Is your daughter taking any medication?
Name of and reason for medication (if yes):

By submitting this form: I understand that $20 per day will be charged to my account for the days my daughter attends After School Care.

I understand that the organisers of the programme will not accept liability for any loss or damage to the child’s property. I understand that every care possible will be taken to ensure the safety of my child in mind.

I give my consent for first aid to be given in the event of injury and for medical help to be sought if necessary.

After School Care Application Form

Student Details

People authorised to pick up your child.

Medical Information

2017 TERM DATES

REGISTER FOR AN OPEN DAY

SCHOLARSHIP INFORMATION

OUR NEW BOARDING HOUSE