Immanuel Gawler - Enrolment Enquiry Form

Enrolment Enquiry Form

To register your interest in Immanuel Gawler or Zion Preschool please complete the Enrolment Enquiry form below.

Primary contact details

Family Name*:

First Name*:

Relationship to Child*:

Email*:

Phone Number*:

Address*:

Suburb*:

State*:

Postcode*:

How did you hear about us?*:

Student Details

Campus applying for*:

Childs First Name*:

Surname*:

Gender*:

Male
Female

Date of Birth*:

Current year level*:

Year of Enrolment*:

Year level of entry*:

Current School (if Relevant):

Any other relevant information:

Student 2 Details

Campus applying for:

Childs First Name:

Surname:

Gender:

Male
Female

Date of Birth:

Current year level:

Year of Enrolment:

Year level of entry:

Current School (if Relevant):

Any other relevant information:

Student 3 Details

Campus applying for:

Childs First Name:

Surname:

Gender:

Male
Female

Date of Birth:

Current year level:

Year of Enrolment:

Year level of entry:

Current School (if Relevant):

Any other relevant information:

Student 4 Details

Campus applying for:

Childs First Name:

Surname:

Gender:

Male
Female

Date of Birth:

Current year level:

Year of Enrolment:

Year level of entry:

Current School (if Relevant):

Any other relevant information:

* Required Fields

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