Abcc Enrolment Form - 2017

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CHILD’S NAME:
ABCC ENROLMENT FORM 2017
Office use only:
Date entered:
By:
Enrolment Type: Form / Inform / AMEP / Other
P
,
S
J
A
C
OR ST J
EY A
. A
LEASE COMPLETE A SEPARATE FORM FOR EACH CHILD
ATTENDING EITHER
T
OHN
S
NGLICAN
OLLEGE
OHN
S
BCC
LL SECTIONS MUST BE
.
COMPLETED
ANY SECTION NOT COMPLETED WILL MEAN THE FORM IS RETURNED AND MAY CAUSE A DELAY IN YOUR CHILD
S COMMENCEMENT DATE AT
ABCC.
PRIVACY
:
The College adheres to the Australian Privacy Principles as set out in the Privacy Act (Cth) 1988. Further details are available in the College’s
Privacy Procedure located on the College’s website.
C
D
:
HILD
S
ETAILS
C
N
:
HILDS
AME
A
:
HOME
DDRESS
D
:
 M
 F
:
C
B
OB
ALE
EMALE
CLASS
OUNTRY OF
IRTH
C
CRN:
F
CRN H
(
):
 M
 F
HILD
S
AMILY
OLDER
FOR THIS CHILD
OTHER
ATHER
A
?
 N
 Y
RE THERE ANY PARENTING ORDERS RELATING TO YOUR CHILD
O
ES
H
?
 N
 Y
AVE COPIES OF THE RELEVANT DOCUMENTATION BEEN PROVIDED
O
ES
R
P
P
, P
R
P
, R
O
C
O
.
ELEVANT DOCUMENTATION MAY INCLUDE
ARENTING
LANS
ARENTAL
ESPONSIBILITY
LANS
ESIDENCE
RDERS AND
ONTACT
RDERS
P
/G
D
:
ARENT
UARDIAN
ETAILS
P
/G
1 – A
H
ARENT
UARDIAN
CCOUNT
OLDER
E
A
:
MAIL
DDRESS
N
:
AME
H
A
:
OME
DDRESS
D
:
 M
 F
C
B
:
R
:
OB
ALE
EMALE
OUNTRY OF
IRTH
ELATION TO CHILD
Phone:
Home
Mobile
Work
F
CRN:
N
(
):
AMILY
O OF CHILDREN IN CARE
INCLUDING CHILD STATED ABOVE
W
:
 N
 W
>
15
 L
ORK STATUS
OT APPLICABLE
ORK
THAN
HOURS PER WEEK
OOKING FOR WORK
 S
/
 D
/ D
TUDYING
TRAINING
ISABILITY
ISABILITY CARER
O
:
W
S
:
CCUPATION
ORKPLACE
UBURB
T
C
(CRN)
C
HE DATE OF BIRTH AND
ENTRELINK REFERENCE NUMBERS
FOR THE ACCOUNT HOLDER AND EACH CHILD ARE REQUIRED FOR THE PURPOSES OF LINKING FOR
HILD
C
B
(CCB)
50% C
C
R
. F
MUST
CCB,
DHS
136150
ARE
ENEFITS
AND THE
HILD
ARE
EBATE
AMILIES
BE ASSESSED AS ELIGIBLE FOR
PLEASE CONTACT THE
ON
FOR FURTHER
.
INFORMATION
P
/G
2
ARENT
UARDIAN
E
A
(I
):
MAIL
DDRESS
F DUPLICATE STATEMENT REQUIRED
N
:
AME
H
A
:
OME
DDRESS
D
:
 M
 F
C
B
:
R
:
OB
ALE
EMALE
OUNTRY OF
IRTH
ELATION TO CHILD
Phone:
Home
Mobile
Work
F
CRN:
N
(
:
AMILY
O OF CHILDREN IN CARE
INCLUDING CHILD STATED ABOVE
W
:
 N
 W
>
15
 L
ORK STATUS
OT APPLICABLE
ORK
THAN
HOURS PER WEEK
OOKING FOR WORK
 S
/
 D
/ D
TUDYING
TRAINING
ISABILITY
ISABILITY CARER
O
:
W
S
:
CCUPATION
ORKPLACE
UBURB
1
St John’s Anglican College ABCC & St John’s EY ABCC

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