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Drama Enrolment Form

Enrolment Form

The Greek Community of Melbourne is proud to announce the creation of a new drama centre for young children providing the unique opportunity for children to actively engage in the creative arts. (See details here)

Please submit the form once for each child.

NOTE: All information provided is strictly confidential and will only be accessed by the GOCMV and Teaching Staff members.

By filling-in this form, paying the fees and sending your child/children to our school you agree to abide by the school's rules, and you authorize the staff at GOCMV to seek and/or administer emergency medical treatment as is reasonably necessary and to reimburse relevant expenses. You will be informed as early as possible in the event of an accident or illness.

1. Campus
Campus*
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2. Student Details
First Name:*
Please enter the student's first name.

Last Name:*
Please enter the student's last name.

Όνομα (Ελληνικά):
Please enter the student's last name.

Επώνυμο (Ελληνικά):
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Gender:
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Date of Birth:*
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Musical Instruments Played:
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Day School Name:
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Day School Year Level:
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3. Student Medical Details
Illness / Disability:*
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Does the student suffer from any illness or disability which requires special attention?

Illness / Dis. Details:
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(please provide details)

Allergies:*
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Allergies Details:
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Anaphylaxis:*
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Does the student have Anaphylaxis requiring an Auto-Injector?
If yes you need to provide us with THREE COLOURED copies of the Action Plan For Anaphylaxis.

Asthma:*
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Does the student have Asthma?
If yes you need to provide us with a copy of the Asthma Action Plan.

Doctor's Name:
Please enter the name of your emergency contact.

Doctor's Address:
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Doctor's Phone:
Please enter the contact number of your emergency contact.

4. Home Details
Street Address:*
Please enter the student's home address.

Suburb/Town:*
Please enter the student's home suburb.

Postcode:*
Please enter the student's home postcode.

Home Phone:*
Please enter the student's home phone number.

Family Email:*
Please enter the student's family email address.

Languages Spoken At Home:
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Siblings Attending this School:
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5. Parent / Guardian #1
Name:*
Please enter the name of Parent/Guardian.

Mobile Phone:*
Please enter the Parent/Guardian's personal telephone number.

Occupation:
Please enter the relationship you have with your emergency contact.

Work Phone:
Please enter the Parent/Guardian's work telephone number.

6. Parent / Guardian #2
Name:
Please enter the name of your emergency contact.

Mobile Phone:
Please enter the Parent/Guardian's personal telephone number.

Occupation:
Please enter the relationship you have with your emergency contact.

Work Phone:
Please enter the Parent/Guardian's work telephone number.

7. Emergency Contact (in case parents are not available)
Name:*
Please enter the name of the emergency contact for this student.

Phone Number:*
Please enter the contact number of the emergency contact for this student.

Relationship:*
Please enter how the emergency contact and the student are related.

8. Legal Restrictions
Legal Restrictions:*
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Are there any legal restrictions such as court orders in relation to the student or parents?
If yes you need to provide us with a copy of the Court's Orders.

Legal Restrictions Details:
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9. Photo Permission
Photo Permission:*
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  1. I consent to and provide permission for the photographic, video or audio recording of my child / student, to be used by authorized personnel in various communications and media (e.g. School Newsletter, Website, Displays and Folders of the Greek Afternoon Schools, etc).
  2. I understand that my child / student will not be personally identified in any use of the material.
  3. I authorize the use or reproduction of any recording referred to above without acknowledgment and without being entitled to remuneration or compensation.
10. Submission
Your name (person filling the form):*
Please enter your name.

How did you hear about us:
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Human Verification

Alphington Grammar Koinotika Nea - the Greek Community newsletter Requirements for Greek Citizenship

 

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