Enrolment Application

SECTION 1: Student Details

Date of Birth

Attach a copy of your child's birth certificate or passport

Gender

Male Female Other

Prefered State Date for this enrolment

Ethnicity

SECTION 2: Parent/Guardian Information

Parent/Caregiver Details (1)

Prefix

Mr. Mrs. Miss Ms Dr. Prof.

Primary Caregiver?

Yes No

Parent/Caregiver Details (2)

Prefix

Mr. Mrs Miss Ms Dr. Prof.

Primary Caregiver?

Yes No

Special Custody Arrangements

Please provide details below of any specific custody arrangements relating to this child.

SECTION 3: Emergency Contact Information

Emergency Contact (1)

This should be someone different than those listed as first and second caregivers.

Prefix

Mr. Mrs. Miss. Ms. Dr. Prof.

Emergency Contact (2)

This should be someone different than those listed as first and second caregivers.

Prefix

Mr. Mrs. Miss. Ms. Dr. Prof.

Can either of these be at the school within 25mins in an emergency?

Yes No

SECTION 4: Family Connection to St Pius

Do you have a connection to St Pius X?

Yes No

If YES (to the previous question) Is/Was a parent/grandparent an alumnus/alumna of St Pius X?

Yes No

If YES Does/Did a sibling attend St Pius X?

Yes No

SECTION 5: Health and Dietary Information

Does your child have any allergies (e.g., food, insect stings, medication)?

Yes No

Does your child have any dietary restrictions or requirements?

Yes No

Does your child have any medical conditions or require ongoing medication?

Yes No

Attach a copy of your child's B4 School Check

Upload your child's Immunization Certificate

SECTION 6: Faith and Enrolment Information

Religious Denomination Catholic Other Christian Denomination Other No Religion/Atheist

Baptised Catholic

Yes No

Has your child received the Sacrament of First Holy Communion?

Yes No

Has your child received the Sacrament of Confirmation?

Yes No

Has your child received Reconciliation?

Yes No

Copy of Baptism Certificate (if applicable)

Attache - Preference Certificate signed by Parish Priest (if applicable)

How did you hear about our school?

School Website Friend/Family Local Newspaper Other

SECTION 7: Early Childhood Education (ECE)

Did the child attend one or more Early Childhood Education (ECE) service(s) in the six months prior to starting school?

Yes No

Did the child regularly attend Early Childhood Education?

Yes No

(If Yes) Was the regular attendance for: More than 30 hours per week 20-30 hours per week 10-20 hours per week Less than 10 hours per week

(If NO) Was the attendance: Closely regular Occasionally regular with no on-going schedule

SECTION 8: Previous Primary School

Was your child previously enrolled at another primary/secondary school?

Yes No

(If YES) Start Date at Previous School:

(If YES) End Date at Previous School:

SECTION 9: Permissions and Agreements

Visitors Code of Conduct

Yes, I have read and agree with the Visitors Code of Conduct that is attached at the top of this form.

Upload a filled out copy of the Online Safety Agreement - This form is attached at the top of this page for you to download and fill out. If you are unable to attach it you will need to bring it into the school office.

Communication Consent

"I/We consent to receive communication from St Pius X School via email, push notifications via applications used by the school, and/or text message regarding school matters, updates, and events."

Yes

Photo/Video Consent

"I/We consent to St Pius X School taking and using photographs and/or videos of my child for educational and promotional purposes, including but not limited to, the school website, newsletters, social media, and marketing materials. I/We understand that I/We can withdraw this consent at any time by contacting the school."

Yes

Declaration

"I/We declare that the information provided in this application is true and accurate to the best of my/our knowledge. I/We understand that submitting this form does not guarantee enrolment."

Yes

In terms of the Privacy Act, I/We understand that the information on this form is collected to form part of the essential information St. Pius X Primary School holds on my child. The records made from this information may be viewed upon request at the school. I/We approve the forwarding of information when my child transfers to another school. I/We understand that St. Pius X Primary School will take action on my behalf in case of sudden illness or injury, and I/We agree to abide by St. Pius X Primary School's policies.

Yes

St. Pius X School collects and uses the information provided in this form to manage student enrolment, support student learning, and maintain a safe school environment. We handle your personal information in accordance with our school's privacy policy.

Once you send in the form, our office will be in touch, and may ask for additional information.