2024 School Enrolment form

Student's name

First

Middle

Last

Date Of Birth

Gender

Male
Female

Home address

Address Line 1

City

State / Province / Region

Postal Code

Student's mainstream school name

Campus

If no campus, please enter school suburb

Student's mainstream year level

Is your child currently enrolled at another community language school to learn the same language?

Yes
No

Has your child ever been enrolled at another community language school to learn the same language?

Yes
No

Residency Status

Student's Australian Residency status

Australian citizen/Permanent resident
Full-fee paying international student
Other

Parent/Guardian Details 1

Name of Parent/Guardian

First

Last

Relationship to student:

Mother
Father
Grandparent
Legal guardian

Phone number

Mobile or landline including area code

Work phone number (optional)

Mobile or landline including area code

Email address

Occupation

Please select the following

Can you read Armenian?

Yes
No

Can you write Armenian?

Yes
No

Can you speak Armenian?

Yes
No

Parent/Guardian Details 2

Name of Parent/Guardian

First

Last

Relationship to student:

Mother
Father
Grandparent
Legal guardian

Phone number

Mobile or landline including area code

Work phone number

Mobile or landline including area code

Email address

Occupation

Please select the following

Can you read Armenian?

Yes
No

Can you write Armenian?

Yes
No

Can you speak Armenian?

Yes
No

Emergency Contact/Authorised Person

In case of an emergency, Armenian Aginian School will contact the parents/guardian initially. If contact is unsuccessful, we will contact the following people, in the order that they are listed. (If in case we cannot contact either of above parents)

Emergency contact name 1

Emergency contact phone 1

Mobile or landline including area code

Emergency contact name 2 (optional)

Emergency contact phone 2 (optional)

Mobile or landline including area code

Collecting your child from Armenian Aginian School

Your consent is required, in writing, for other people to collect your child from the school on your behalf. Please list the details of anyone who can collect your child below. In the event that your child is not collected from the school and the parents or guardians cannot be contacted, this list will also be used to arrange someone to collect your child.

First contact's name

First contact's phone number

Mobile or landline including area code

Second contact's name (optional)

Second contact's phone number (optional)

Mobile or landline including area code

Medical information

Does the child have any allergy or sensitivity?

Yes
No

Does the child have any medical conditions and needs

Yes
No

(eg epilepsy, diabetes, asthma etc)

Does the child have any other dietary restrictions/intolerences, any other medical conditions we need to be aware of

Yes
No

(eg epilepsy, diabetes, asthma etc)

Ambulance Membership No

Medicare Number

Privacy Collection Notice - Protecting your privacy and sharing information

The information about your child and family collected through this enrolment form will only be shared with school staff who need to know to enable the community language school and Department of Education and Training (Department) to educate or support your child, or to fulfil legal obligations including duty of care, anti-discrimination law and occupational health and safety law. The information collected will not be disclosed beyond the Department without your consent, unless such disclosure is lawful.

For more about information-sharing and privacy, see the Department’s privacy policy at: http://www.education.vic.gov.au/Pages/privacy.aspx

Parent/Guardian Privacy Consent and Declaration

I confirm that the information provided on this enrolment form is true and correct and I acknowledge and agree to the terms and conditions of enrolment accompanying this enrolment form. I consent to:

the collection of my child’s health and personal information by the community language school;
the community language school disclosing my child’s personal information contained in this enrolment form to the Department of Education and Training for data verification and funding purposes;
the Principal or teacher (where the Principal or teacher in charge is unable to contact me) to administer such first aid to my child as the Principal or staff member may consider to be reasonably necessary including disclosing personal and health information to professional third parties in the event of a medical emergency.

Name of Parent or Guardian

First

Last

By entering your name you agree to this privacy consent declaration

Date

Permission to photograph your child

On occasion we would like to take photographs of your child/ren. These will show your child/ren participating in the program and may be put on display at Armenian Aginian School.

Checkboxes

I agree and consent to allow my child/ren to be photographed

View full policy document

We may also use your child’s photo in promotional material such as brochures, newsletters, social media. (ie. Facebook) and local external media (ie. Community magazines, local paper).

Photographs may also be taken at events such as concerts or Open Days where groups of children and parents gather. (i.e. parents, grandparents, teachers) that may photograph the children. At all other times, photographs can only be taken by a person approved by the Principal.

We cannot take photos of your child/ren without your consent. If you agree to your child’s photo being taken and used for the purposes outlined above, please select the box above to agree.

I understand that it is an offence to publish photos of minors who are wards of the state or subject to family court proceedings and declare this does not apply to my child.

Date

Do you need to complete any more enrolments for other students this year?

Yes
No, I'm done

Number of children in Kinder - Year 9

Number of VCE students

Total

$0.00

Are you interested in volunteering at the school?

Yes
No

Your contribution, no matter how small, can make a big difference in our school community.

Payment Record

Student enrolment form

Please note

Residency Status

Parent/Guardian Details 1

Please select the following

Parent/Guardian Details 2

Please select the following

Emergency Contact/Authorised Person

Collecting your child from Armenian Aginian School

Medical information

Privacy Collection Notice - Protecting your privacy and sharing information

Parent/Guardian Privacy Consent and Declaration

Permission to photograph your child

Please note

EFT details