Enrolment Page


Picture5Enrolments 2017

A separate form needs to be completed for each student. Please ensure that you have read, understood and agree to the Terms and Conditions of Enrolment.

Your privacy is important to us.
We will not share your personal information with anyone
other than the Department of Education where appropriate
or use your information for any other purpose.
You can read our full Privacy Statement here.

 

STUDENT INFORMATION

First Name & Middle Name*
Family Name*
Name in Greek
Student Name in English has to be EXACTLY as enrolled at Day school, to comply with Department of Education expectations.
Gender* MaleFemale
Date of Birth* (Please ensure you select correct year)
Year Level at Day School in 2017*
Name of Day School*
Day School Suburb/Campus*
Your Residential Street Address and Number*
Your home Suburb*
Your home Post Code*
Home phone

PARENT / GUARDIAN INFORMATION

Father's Name*
Mobile phone
Father's Email
Lives with Student YesNo
Mother's Name*
Mobile phone*
Mother's Email*
Lives with Student YesNo
Preferred contact person* : * MotherFather
Please note we need at least one mobile number above

STUDENT MEDICAL CONDITION

Does the student suffer from any allergies?


Anaphylaxis

YesNo

  Please provide the school with a copy of your Action Plan and ensure your child's EPIPEN is in the school bag:

Asthma

YesNo  Please provide the school with any special instructions and ensure your child's puffer is in the school bag: :

Food Allergy

YesNo Please provide more information:

Other Allergy

YesNo Please provide details of any medication carried to school and instructions on how to use it:

 Any other Medical Condition?

Other condition

 What condition?HearingSpeechVisionMobilityOther

 Please provide more details:

EMΕRGENCY CONTACT DETAILS

Please provide two alternative emergency contacts (not parent) in case the school is unable to contact you in an emergency.

Emergency Contact No. 1 *

Full Name:
Phone # :
Kinship :

Emergency Contact No. 2

Full Name:
Phone # :
Kinship :

SCHOOL MEDIA & EMERGENCY CONSENT

SCHOOL MEDIA*:
I give permission for my child to participate in any appropriate school media activities. This permission includes the right to be photographed or filmed in a school activity by the school, press or television networks. Photos or videos could be published in any or all of the following: school newsletter, school website, newspapers or other print media. I understand and agree that if I wish to withdraw this authorization it will be my responsibility to inform the school in writing.

YesNo
MEDICAL EMERGENCIES*:
I understand that in case of an emergency such as an injury or the child becomes ill during school hours, I give permission to the school to call an ambulance or a medical practitioner to cater for my child’s medical needs, where I cannot be contacted.

YesNo

CHOICE OF WEEK DAY +

Select preferred Greek Class Day * (Tuesday only Kinder to Yr 5):
Monday 5pmTuesday 4pmFriday 5pmSat 9:30am
Any special requests or comments you may wish to convey to Zenon Administration (optional)
Name of person completing this form*:
Date*:
Please complete this simple mathematical equation:

LEGAL

 I have read the Terms and Conditions as set by Zenon Education Centre I Accept

- and I choose this payment method *:

Where did you first hear about Zenon

The school's preferred method of communication is Email. Please white-list the school email address in your email settings.
If you don't, school emails may end up in junk. Also please observe guideline dates when invoiced about school fees.


Please press ‘Submit’ only once. If the web-page seems sluggish please be patient. If you have any problems in completing the above form you can download this one form, print, complete it by hand and mail it please. The Postal Address is on the form.