In Zone Enrolment Enquiry Form

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Thank you for your enquiry at East Marden Primary School. Please complete the following form if you are in the zone and interested in your child attending East Marden Primary School and an enrolment officer will be in contact with you.

In Zone Enrolment Enquiry Form for East Marden Primary School

Thank you for your enquiry at East Marden Primary School. Please complete the following form if you are interested in your child attending East Marden Primary School and an enrolment officer will be in contact with you.

"*" indicates required fields

Child's Family Name*

Child's Given Name*

Child's date of birth*

Child's Gender*

Male

Female

Visa Type (if applicable)

Address*

Street Address City State / Province / Region ZIP / Postal Code

Do you live within the East Marden Primary School Zone?*

Yes

Don't know

Does your child have any siblings at East Marden Primary School?*

Yes

i.e. Brothers or Sisters

Name and year level of brother/sister currently at East Marden Primary School

Preferred year to start*

Child's current year level*

Name and location of the school/preschool/childcare your child last attended*

(If interstate or overseas please indicate)

Does your child have any additional learning or wellbeing needs?*

Yes

If yes, please specify

Parent/Guardian's Family Name*

Parent/Guardian's First Name*

Email address*

Phone number*

Relationship to the child*

Mother

Father

Other

Are there any custody/ family court orders relating to your child?*

Yes

Pending

Other

Contact

43 James Street,
Campbelltown SA 5074 - Map

8337 6170 dl.1043.admin@schools.sa.edu.au

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Department for Education, Trading as South Australian Government Schools CRICOS Provider No 00018A

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