Initial Enquiry Form

Name of Parent/Responsible Person*

Prefix First Middle Last

Name of Partner

Prefix First Middle Last

Number of Children to enrol

First Child Details

First Child's Name*

First Middle Last

First Child Starting Year*

First Child Sex (M/F)*

Male
Female

First Child Date of Birth*

Second Child Details

Second Child's Name

First Middle Last

Second Child Starting Year

Second Child Date of Birth

Second Child Sex (M/F)

Male
Female

Third Child Details

Third Child's Name

First Middle Last

Third Child Starting Year

Third Child Date of Birth

Third Child Sex (M/F)

Male
Female

Family Details

Residential Address*

Street Address Address Line 2 Suburb Post Code

Postal Address

Same as Residential
Different to Residential

Postal Address*

Street Address Address Line 2 Suburb Post Code

Home/Primary Phone*

Work Phone

Mobile Phone

Email*

Requested Start Date

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

Yes
No

Religious Denomination

Catholic
N/A
Other

Please specify other Religious Denomination

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

Permanent Resident of Australia?

Yes
No

Please indicate date entered Australia

VISA SUB CLASS No.

Disability/Medical conditions?

Yes
No

Disabilty/Medical Condition

Please outline nature of disability/medical condition

I/we have completed this initial application form to the best of my/our knowledge. I/we are aware that other forms and supporting documents may be required at a later stage:

Yes

How did you find out about us?

First Child Details

Second Child Details

Third Child Details

Family Details

St Dominics School

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