This enrolment form is for Cobham Intermediate.

2020 Cobham Intermediate Enrolment Form

This is a provisional enrolment form based on the following information being provided to the school:
Please email copies of the above documents to, or deliver to our school at 294 Ilam Road.  If you have any queries, please email the above address or phone (03) 351 6381.  You will receive a confirmation email for any documents emailed to the above address.
Enrolments need to be completed and submitted by Friday 30 August 2019.  All successful applicants will be notified by email before Friday 6 September 2019.
*  These details must be completed.  Please do not include commas in the address lines.

Please note:  If you are wanting to enrol your child for the remaining terms in 2019, please do not use this online form, instead contact our school office

Student Details

Student's Address
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.

Please enter the first and last names

Please provide all available phone numbers


Please indicate if this student has any specific medical conditions including allergies, disabilities etc

ESOL (if applicable)