Pre-School Enrolment

Family Name* (student family name)

First Name* (as provided to Day School)

Middle Name/s (optional)

Gender*

MaleFemale

Date of Birth* (Date format dd/mm/yyyy)

Kinder Level*

Kinder-3yrKinder-4yr

Kinder or Pre-School Name*

Kinder or Pre-School Suburb*

—Please choose an option—-Please select the above school Suburb-AbbotsfordAlbert ParkAlphingtonArmadaleAscot ValeAshburtonAshwoodAspendaleAspendale GardensAttwoodAuburnAuroraAvondale HeightsAvonsleighBalaclavaBalwynBalwyn NorthBandooraBangholmeBayswaterBayswater NorthBeaconsfieldBeaumarisBelgraveBelgrave HeightsBelgrave SouthBellfieldBennettswoodBentleighBentleigh EastBerwickBitternBlack RockBlackburnBlackburn NorthBlackburn SouthBlairgowrieBonbeachBox HillBox Hill NorthBox Hill SouthBraesideBraybrookBriar HillBrightonBrighton EastBroadmeadowsBrookfieldBrooklynBullaBulleenBundooraBurnleyBurnsideBurnside HeightsBurwoodBurwood EastCairnleaCalder ParkCamberwellCampbellfieldCanterburyCarlton NorthCarltonCarnegieCarrumCarrum DownsCaulfieldCaulfield EastCaulfield NorthCaulfield SouthChadstoneChelseaChelsea HeightsCheltenhamChirnside ParkClarindaClaytonClayton SouthClematisClifton HillCoburg NorthColdstreamCollingwoodCremorneDandenongDandenong NorthDandenong SouthDeer ParkDelaheyDerrimutDiamond CreekDingley VillageDocklandsDoncasterDoncaster EastDonvaleDoreenDovetonEaglemontEast MelbourneEdithvaleElsternwickElthamEltham NorthElwoodEmeraldEndeavour HillsEppingEssendon FieldsEssendon NorthEssendon WestEssendonEumemmerringFairfieldFawknerFerntree GullyFerny CreekFitzroyFitzroy NorthFlemingtonFootscrayForest HillFrankstonFrankston NorthFrankston SouthGardenvaleGladstone ParkGlen HuntlyGlen IrisGlen WaverleyGowanbraeGreenvaleGuys HillHadfieldHallamHamptonHampton EastHampton ParkHarkawayHawthornHawthorn EastHeatherdaleHeathertonHeathmontHeidelbergHeidelberg HeightsHeidelberg WestHighettHillsideHoppers CrossingHoustonHughesdaleHuntingdaleHurstbridgeIvanhoeIvanhoe EastJacanaJunction VillageKallistaKaloramaKaringalKealbaKeilorKeilor DownsKeilor EastKeilor LodgeKeilor NorthKeilor ParkKensingtonKerrimuirKewKew EastKeysboroughKilsythKilsyth SouthKings ParkKingsburyKingsvilleKnoxfieldKooyongKurunjangLaburnumLavertonLaverton NorthLysterfieldLysterfield SouthMacclesfieldMcCraeMcKinnonMacleodMaidstoneMalvernMalvern EastMaribyrnongMeadow HeightsMelbourneMentoneMenzies CreekMerndaMicklehamMiddle ParkMilgate Park EstateMonbulkMont AlbertMont Albert NorthMontmorencyMontroseMoonee PondsMoorabbin AirportMoorabbinMordiallocMorningtonMount DandenongMount ElizaMount EvelynMount MarthaMount WaverleyMulgraveMurrumbeenaNoble ParkNoble Park NorthNorth MelbourneNorth RichmondNorth WarrandyteNorthcoteNorwoodNotting HillNunawadingOakleighOakleigh EastOakleigh SouthOrmondPakenhamPanton HillPark OrchardsParkdaleParkvillePascoe Vale SouthPascoe ValeThe PatchPatterson LakesPennydalePort MelbournePortseaPrahranPrestonPrinces HillRavenhallResearchReservoirRichmondRipponleaRockbankRowvilleRoxburgh ParkSt AlbansSt HelenaSt KildaSt Kilda EastSt Kilda WestSandhurstSandringhamScoresbySeabrookSeafordSeaholmeSeddonSherbrookeSkyeSomertonSomervilleSouth KingsvilleSouth MelbourneSouth YarraSouthbankSpotswoodSpringvaleSpringvale SouthSurrey HillsSydenhamSyndalTally HoTarneitTaylors HillTecomaTemplestoweTemplestowe LowerThe BasinThomastownThornburyToorakTootgarookTottenhamTravancoreTremontTruganinaTullamarineUpfieldUpper Ferntree GullyViewbankWantirnaWantirna SouthVermontVermont SouthWaterwaysWatsonia NorthWattle GlenWaverley ParkWerribeeWerribee SouthWest FootscrayWest MelbourneWestgarthWheelers HillWildwoodWilliams LandingWindsorWyndham ValeYallambieYarrambatYarravilleYuroke

Your Residential Address (Number, Street Name, Suburb, Postcode)*

Father's Name*

Mobile phone

Email

Mother's Name*

Mobile phone*

Mother's Email*

Primary contact person* :

MotherFather

Does the student suffer from any allergies?

NoYes

__________________________________________________________________

 Any other Medical Condition?

NoYes

__________________________________________________________________

 Do you have Ambulance Insurance Cover?

NoYes

Emergency Contact Details*

Full Name:

Phone # :

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, using this form.

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. Zenon cannot be held responsible for tending to student health issues if these have not been disclosed to the school by the parents.

YesNo

Select preferred Greek-School Day *:

- You can always change to a different session at any time

Saturday 9:30amMonday 4:30pmFriday 5:00pm

Any special requests or comments you may wish to convey to Zenon Administration (optional)

Name of person completing this form*:

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.
I consent to:
- the collection of my child’s health and personal information by the community language school;
- the 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.

I have read and accept the Terms and Conditions

I Accept

I choose this payment method *:

—Please choose an option—Up front (total amount paid by Jan 28)By two instalments (First by Jan 28, Second by June 28)

Where did you first hear about Zenon*:

Online searchSocial MediaA friendA family memberAd in the paperStreet signPast Zenon studentExisting Zenon studentOther