Registration form

Please complete this form providing preliminary details that will enable us to respond as soon as possible to you.

If you are requiring to submit details for more than two students please email us the additional student information.

(For security and privacy when you submit this form to us it is encrypted when transmitted to us.)

First Student's name

First Name

Last Name

Preferred name

Date of birth

YYYY

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

First language

Passport number #

Passport expiry date

YYYY

Does the student have any medical conditions?

Yes

If 'yes' to medical condition, please give details

Second Student's name

First Name

Last Name

Name

First Name

Last Name

Preferred name

Date of birth

YYYY

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

First language

Passport number #

Passport expiry date

YYYY

Does the student have any medical conditions?

Yes

If 'yes' to medical condition, please give details

Family Details

Mother's name

Preferred name

Occupation

Date of birth

YYYY

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

First language

Passport number

Passport expiry date

YYYY

Phone

Country

(###)

###

####

Family Details

Father's name

Preferred name

Date of birth

YYYY

Occupation

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Passport number #

Passport expiry date

YYYY

First language

Phone

Country

(###)

###

####

Accommodation Requirements

Do you require accommodation to be arranged for the child?

Yes

If 'yes' please provide details of requirements:

Education Requirements

Have you identified the schools you wish us to contact on your behalf?

Yes

If 'yes' please list preferred schools:

Education year/s applying for

Other education special requests/requirements:

Additional notes, comments for us (optional)

Registration form

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