Please complete the registration form by either clicking here to download it or complete it on line below.

Student Details

First Name Last Name
Date of Birth Today's Date

1st Parent / Guardian Contact Details

First Name Last Name
Relationship to Student Home Contact Number
Mobile Number Work Contact Number
Address (including post code)
E-mail

2nd Parent / Guardian Contact Details

First Name Last Name
Relationship to Student Home Contact Number
Mobile Number Work Contact Number
Address (including post code)
E-mail

Other Emergency Contact:

First Name Last Name
Relationship To Student Contact Number

Medical Information

Name of Doctor Contact Number
Address
Allergies Medication
Medical Conditions

Name of Parent / Guardian completing this form.

Name