ENROLMENT ENQUIRY
ID:0 | 03/06/2020 |
Recipient: Guest
Originator: Guest
* Mandatory fields | 
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1
General Information

Thank you for your interest in enrolling your child as a student at Emmaus Christian School.  Please complete the details below and you will be contacted shortly by our Enrolments Officer. 
2
Person completing this form

Full Name of person completing this form *

Email of person completing this form *

Your mobile phone *

Are you a *

Parents Email
3
Student Details

Students First Name *

Student Legal Last Name *

Known as name (if applicable)

Student date of birth *

Your relationship to the student
Student gender

Year Group at commencement  *

Start Date that you are enquiring about  *

Where is the student currently enrolled *

Students First Name
Student Legal Last Name
Known as name (if applicable)

Student date of birth
Your relationship to the student
Student gender

Year Group at commencement 
Start Date that you are enquiring about 
Where is the student currently enrolled

Students First Name
Student Legal Last Name
Known as name (if applicable)

Student date of birth
Your relationship to the student
Student gender

Year Group at commencement 
Start Date that you are enquiring about 
Where is the student currently enrolled
4
Enter the verification text below * :
 
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