Local Enrolment Form

Please complete this form and submit your non-refundable Registration Fee of $100
Required fields are marked with an asterisk *

Student Details

*Student's Surname

*Given Names

*Date of Birth

*Year Level Required

*Sex

Religious Denomination

*Intended Year of Entry (ie. 2015)

Parent One

*Title

*Surname

*Given Names

*Private Address

*Postcode

*Telephone (H)

*Mobile

*Email

Professional Qualifications

Occupation

Type of Industry

Employer

Business Address

Parent Two

Title

Surname

Given Names

Private Address

Postcode

Telephone (H)

Mobile

Email

Professional Qualifications

Occupation

Type of Industry

Employer

Business Address

Name of siblings who have previously attended Camberwell GGS Alumni Year

Name of siblings who are currently attending Camberwell GGS Year

Name of siblings who may enrol in the future as a student at Camberwell GGS Year of entry

Did a parent or relative attend Camberwell GGS? Yes No

Name

Relationship to student Year's attended / Maiden Name

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Local Enrolment Form

Student Details

Parent One

Parent Two

Payment Details