This enrolment form is for Huapai District School.

This is a provisional enrolment form based on the following information being provided to the school:

Student Details













Ethnicity
Student's Address
Living Arrangements

Please indicate with whom the student lives.

Please add any access arrangements.


Please add a comment for the caregiver.

Contact 1

This is the Primary Contact for this student.



Contact 2

This is the Secondary Contact for this student.



Contact 3


Emergency Contacts

This must be a person other than Contact 1 or Contact 2.

Medical

Please add any information that is critical.

Please indicate if this student has any specific medical conditions.

Please indicate if this student has any allergies.

Please indicate if this student has any specific medical treatments.




Pre-Schooling


Consent