Makybe Rise Primary School Application For Enrolment

NOTE: Children may be enrolled in Kindergarten in one school only, either public or private. In the event that statements made in this application later prove to be false or misleading, a decision on this application may be reversed. Information supplied may need to be checked by the school. For enrolment in a Western Australian Public School: Students in the compulsory years of schooling who are already enrolled at the school do not need to lodge a new application for that school year.

PERSONAL DETAILS

Childs Name Details(Required)

Surname Legal Surname (if different) Given names

Date of Birth(Required)

Gender of child(Required)

Male

Female

Not Specified

Name of person enrolling student(Required)

Mr/Mrs/Ms/Other Surname Given names

Relationship to child(Required)

Eg. Mother, Father, Guardian, Grandmother etc. (Independent Minors and those aged 18 years or older may apply on their own behalf)

Residential Address(Required)

Street Address Suburb Postcode

Nearest intersecting street

Postal Address (if different from residential address)

Street Address Suburb Postcode

Home Phone

Work Phone

Mobile Phone No.

ENROLMENT YEAR DETAILS

Seeking enrolment into(Required)

Kindergarten

Pre-primary

Year 1

Year 2

Year 3

Year 4

Year 5

Year 6

Year of enrolment(Required)

2024

2025

**KINDY 2025 ONLY ** Please select a Pre Kindy Program Session below. These sessions run from week 1 to 6 in Term 4 2024. 10th and 11th of October until the 14th and 15th of November 2024. A parent or guardian is required to attend with their child. More information about the program will be emailed to the email entered below.

Thursday Afternoon Sessions

Fridays Afternoon Sessions

Not attending the Pre Kindy Sessions

Email address for Pre Kindy Sessions communication.

If enrolment is not at beginning of the year, please indicate preferred start date

We will confirm start date after enrolment forms are completed

If applicable, year level child currently enrolled in eg Yr 2

Kindergarten

Pre-primary

Year 1

Year 2

Year 3

Year 4

Year 5

Year 6

If applicable, name of school at which the child is currently or was last enrolled

DOCUMENTS TO BE PROVIDED

Birth Certificate(Required)

Max. file size: 16 MB.

Original, Certified copy or Extract. (Principals will refer to guidance 3.5.1 of the Enrolment Procedures where evidence is not provided)

Immunisation Certificate(Required)

Max. file size: 16 MB.

This must be a print out from medicare

Proof of Address(Required)

Drop files here or

Max. file size: 16 MB.

Please attach proof of residency. This must be one of the following * A lease/rental agreement if the family is renting (with a minimum 3 months to cover commencement) * Power – latest account * Gas – latest account * Statutory Declarations if no other documentation available (1 x Statutory Declaration signed by the owner of the property, accompanied by a current Rates Notice; 1 x Statutory Declaration signed by the occupier of the property, accompanied by 3 x pieces of evidence showing the address; this property must reside in our local intake area)

Drivers Licence or photo ID(Required)

Max. file size: 16 MB.

Copy of Drivers Licence or Photo ID with a signature of person enrolling child.

AUSTRALIAN RESIDENCY

Is your child a permanent resident of Australia?(Required)

YES

If your child is NOT a permanent resident of Australia, please indicate

Date entered Australia

Visa Sub Class No

Student Language(Required)

English First Language

Other

RESIDENCY DOCUMENTS REQUIRED

If your child was NOT born in Australia, you must provide evidence of the following

Date of entry into Australia

Max. file size: 16 MB.

Passport or travel documents

Max. file size: 16 MB.

Current visa subclass and previous visa subclass (if applicable)

Max. file size: 16 MB.

ADDITIONAL DOCUMENTS TO BE PROVIDED

If your child is a temporary visa holder, you must also provide the following

Confirmation of enrolment, evidence or any permission to transfer provided by Education and Training International (ETI) email: study.eti@dtwd.wa.gov.au (if holding an International full fee student visa, sub class 571) OR Evidence of the visa for which the student has applied if the student holds a bridging visa

Drop files here or

Max. file size: 16 MB.

Are there any Family Court Orders regarding the day to day or long term care, welfare and development of the child?(Required)

YES

Copies of Family Court or any other court orders

Drop files here or

Max. file size: 16 MB.

Is your child subject to access restriction?(Required)

YES

If your child is subject to access restrictions, please specify below

Access Restriction Documentation

Max. file size: 16 MB.

Are there brothers or sisters attending this school

Surname

First Name

Year Level

Is your child currently under suspension from a school?(Required)

YES

If your child is under suspension please name the school

Has your child ever been excluded from a School?(Required)

YES

If your child has been excluded from a school, please name the School

Please indicate if you your child has any disability or medical conditions(Required)

Yes - Physical

Yes - Intellectual

Yes - Speech and Language

Yes - Hearing

Yes - Occupational Therapy

Yes - Other medical condition/s

Yes - Autism

This information will assist the school Principal with considering whether any specific or additional resources are required and available to assist the school with providing the best educational program for your child.

If you answered yes to the above, please outline nature of disability/medical condition/s

Disability or Medical Condition/s Documentatioin

Drop files here or

Max. file size: 16 MB.

Declaration: In Completing this online application, I declare the information and statements provided in this application for enrolment are true and accurate in relation to the child above(Required)

Yes

Today's Date(Required)

OFFICE USE ONLY - Application Approved / Declined

PRINCIPAL SIGNATURE _______________________________________ DATE: ________