Student Registration Form 2023

Classical Christian Education focuses on establishing a Biblical worldview while developing and transforming well rounded students through the Trivium (Grammar, Logic and Rhetoric). We are looking at providing an alternative academic outlet for parents seeking quality Classical Christian education in Perth, Western Australia. We are delighted that you are considering this road as an alternative for your child’s educational journey. The information provided through this form, will assist us to serve you and your child to the best of our ability. In order to register a student for enrolment, this online Registration Form must be completed and a fee of $50.00 paid.

- Step 1 of 12

Location of Interest (First option) *

Note: Balcatta, Mundaring and Fremantle will be considered as "An Expression of Interest" and will only be a viable option if required number of students is reached.

Location of Interest (Second option)

Note: Balcatta, Mundaring and Fremantle will be considered as "An Expression of Interest" and will only be a viable option if required number of students is reached.

Student's Name *

First

Last

DOB *//

Date of Birth (Please email us a copy of the birth certificate)

Class / Commencement Year (Example: Kindy / 2022) *

Gender (copy) *

Female
Male

Name of previous school *

Country of Birth / Nationality *

Is your child of Aboriginal or Torres Strait Islander Origin? *

No
Yes, Aboriginal
Yes, Torres Strait Islander
Yes, both Aboriginal and Torres Strait Islander

Primary Language spoken at home

Name *

First

Last

Phone No (Mobile) *

Address (including Postcode) *

Email *

Nationality

Church you currently attend (include location)

Does your child attend this church with you?

Yes
No
Not anymore

Name

First

Last

Phone No (Mobile)

Address (including Postcode)

Nationality

Church you currently attend (include location)

Does your child attend this church with you?

Yes
No
Not anymore

If separated, who is the custodial parent *

Mother
Father
Not Applicable

Name of the volunteer and their relationship to the child

Note: If this volunteer is not a parent, then a Working with Children Check would be required and evidence provided.

Do you have any special interests/ skills that you think might be useful in the school?

Sibling 1, Age and School

Sibling 2, Age and School

Sibling 3, Age and School

Sibling 4, Age and School

Name and Contact details of doctor and/or medical centre (if applicable)

Are you a member of an Ambulance fund *

Immunisation Status: Please email us a copy of current immunisation history. (Please note that it is required that all children enrolled in Kindy are fully immunised.) *

Fully immunised
Incomplete
Not immunised
Personal objection (or exemption)

Does your child have any special needs? *

If yes, please provide details

Does your child have any allergies? *

If yes, please provide details of the procedure which is to be followed if the condition needs to be attended to at the Micro-School (please attach a separate sheet if additional space is needed).

Does your child take any regular medication? *

If yes, please provide details

Emergency Contact no 1 *

Relationship with child *

Phone Number *

Address

Emergency Contact no 2

Relationship with child

Phone Number

Address

I give permission for my child to participate in walks in the areas surrounding the school from time to time. I understand there will be adequate supervision of my child in areas near water / traffic. *

I give permission for my child to be given first aid from the school first-aid staff *

I give permission for my child to be given paracetamol, if required. *

I understand that if my child is seriously injured or needs medical attention and parents are not able to be contacted my child will be transported by ambulance to hospital and I agree to cover ambulance costs. *

I give permission for my child to participate in all school sporting activities. *

I give permission for my child to be photographed and that these photos be used in school newsletters, magazines, social media and other such publications. If I change my mind about this I will notify the school in writing. NOTE: Photos will not be used for promotional purposes without further parental consent. *

What is your educational goal for your child ?

Do you have a membership at a local library?

Note: The micro-school will not have its own library on premises.

Your child's special abilities, hobbies, interests etc.

How much screen time is your child permitted at home? Hours per day/week? Include smartphones, TV and other devices.

Is there anything else you would like us to know to help your child on their educational journey?

In order to register a student for enrolment, this online Registration Form must be completed and a fee of $50.00 paid. This fee is non-refundable and covers the enrolment administration costs. Payment of the application fee does not guarantee a place in the Micro-school. If your preferred locations are no longer a viable option, this fee will then be refunded to you. *

Ok, I understand.

The payment of the fee of $50 is to be paid to the following account please: Account Name: CCE Perth Inc // BSB: 306 988 // Account N0: 026513-7 // Ref: "Surname + enrolfee"

We would welcome any further donations you would like to make to support the Micro-School.

Ok, I understand.

Please mention in your ref: "Donation"

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CLASSICAL CHRISTIAN EDUCATION

Classical Christian Education Perth

Student Registration Form 2023