Langford Campus Online Application for Enrolment

Notice

Please note that this online application form has a 15-minute time limit.
If you are unable to complete it within this time, we recommend downloading the form and filling it in at your convenience, and emailing it to: This email address is being protected from spambots. You need JavaScript enabled to view it.


Application for Enrolment

Student Information

The maximum file size is 5mb (jpg, jpeg, png, pdf, doc)
Male Female
Yes No Exempt
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Obtained from myGov. Statement must be no more than two months old.

You will need to provice an Immunisation Statement in person.

The maximum file size is 5mb (jpg, jpeg, png, pdf, doc)
Yes No

Please Note: There may be a waiting list for this service.

Citizen/Permanent Temporary No
The maximum file size is 5mb (jpg, jpeg, png, pdf, doc)
The maximum file size is 5mb (jpg, jpeg, png, pdf, doc)
Yes No

Please provide details for each sibling, separated with a comma.

The maximum file size is 5mb (jpg, jpeg, png, pdf, doc)
Yes No

Student's Individual Needs

The School Education Act 1999 requires the provision of 'details of any condition of the student that may call for special steps to be taken for the benefit or protection of the student or other persons in the school'.

Please detail any special needs your child has:

Action & Learning Plans

The maximum file size is 5mb (jpg, jpeg, png, pdf, doc)
The maximum file size is 5mb (jpg, jpeg, png, pdf, doc)

Family Doctor

Yes No

Parents are expected to disclose any health and/or learning support fully and accurately. Failure to disclose such information may result in enrolment being cancelled.

Court Custody
if parents are separated and custody arrangements apply - a copy of court documentation must be supplied to the school.

The maximum file size is 5mb (jpg, jpeg, png, pdf, doc)

Parents/Guardians Information

Father's Details/Guardian

Mother's Details/Guardian

Emergency Contact / Next of Kin (Other than Parents/Guardian)

Private Health Insurance

In the case of an emergency, we may be required to call for an ambulance. Please provide your private health insurance details below and if any of these details change, you must advise the enrolment officer. NOTE: If you are not covered for an ambulance service, you may be privately billed for this service/call out by the Emergency Services.

Private Health Fund

Yes No

Medicare

Yes No

Medical Emergency / Excursion Authorisation

I/We authorise the College to seek medical/dental attention, to call an ambulance or to hospitalise my son/daughter when considered necessary. I/ we understand that we are liable for any costs that are incurred. I/we further authorise the College that if an emergency occurs requiring surgery, anaesthetic, oxygen, blood transfusion, medication and I am/we are unable to be contacted within a reasonable time, the College has the authority to agree to medically recommended treatment by an accredited medical practitioner on my behalf.

I/We hereby permit my child to leave school grounds on any organised and supervised excursion for educational purposes.

I/We exonerate the School, its staff and agents from any claims or litigation arising from illness, injury, excursion and loss/damage to personal effects, including money in the possession of my child(ren).

Agreement

I/We understand and accept that the completion of this application/enrolment form does not guarantee enrolment. Successful applicants will be determined in accordance with the school’s enrolment criteria.

I/ We have completed the form fully and to the best of my/our knowledge. Further I/we acknowledge and accept that if it can be demonstrated that I/we have withheld information relevant to the application/enrolment process, especially in relation to this student’s individual needs, medical conditions and/or health care requirements, then this enrolment may be refused or terminated on this ground.

I/We agree to abide by the policies and directions of the school as they are enacted from time to time.

I/We understand that security cameras are installed on school premises and school buses for security purposes.

I/We understand that our child must observe good behaviour as per school policies and procedures.

I/We understand and accept the tuition fees as shown in the fee schedule with this application for enrolment. I/we thus take full responsibility to pay all tuition fees (including the Building Levy), and any other fees or charges incurred (by the given due date) for the duration of my child(ren)’s enrolment at the College.

I/We also understand that the College reserves its right to revise its tuition fees (and other charges) on an annual basis to cover for rising costs. In the event where I am late in payment of fees without acceptable reasons, the College reserves its right to take necessary actions such as, but not limited to, applying suspension of my child/ren’s enrolment and engaging the fee collection agency to recover the outstanding fees.

Privacy Act Declaration

I understand the College collects personal information, including sensitive information about its students and parents or guardians before and during the course of a student’s enrolment at the College. The primary purpose of collecting such information is to enable the College to be compliant with the delivery of education and care as required.

The information sought on this form is required by the School for educational purposes and to be compliant with various Education and Government authorities.