Enrolment Form - Saturday morning children's classes (Semester 1, 2021)
Children's Division - ACT German Language School Inc.

ACCOUNT DETAILS for fee payments
Westpac
BSB:         032 733
Acc no:     161270
Please include your child’s name in the details field so we can attribute the funds correctly

PLEASE NOTE
If you are new to the ACT German Language School, please get in touch with our Principal prior to enrolment in order to find the appropriate class for your child and to check if there are places available (children@actgermanschool.org.au)
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Email *
FEES *
SECTION A: DETAILS OF STUDENT
If you are enrolling more than one child, please enter their details separately
Surname *
Given name *
Date of birth *
DD/MM/YYYY
Has the student previously attended the ACT German Language School?
If NO, please select "New Student". If YES, please select previous class.
Clear selection
If NO, does the student have any prior knowledge of German?
Clear selection
Please detail prior knowledge (if applicable)
How did you hear about the school?
SECTION B: EMERGENCY CONTACT DETAILS
Please inform us of any changes to your details - email children@actgermanschool.org.au
Mobile phone *
Surname *
Given name *
Relationship to student *
Additional mobile phone (optional)
Additional email address (optional)
Home phone
Work phone
Residential address *
(street number, street, suburb, postcode)
SECTION C: DECLARATION BY PARENT
Accident declaration *
In the event of illness or injury to my child whilst at school, or on an excursion, or travelling to or from school, I authorise the Principal or senior staff member in charge of my child, where it is impracticable to communicate with me, to consent to emergency medical arrangements on my behalf as are deemed necessary by a qualified medical practitioner. Such consent includes anaesthetics, blood transfusions and/or operations. (Please advise by email if consent is not given for any of these procedures).
Required
General Declaration *
I apply for admission to the ACT German Language School Inc. for the student named above. I agree to pay the required school fee and book costs at the beginning of each semester. I also apply for free membership of the School Association and agree to abide by the Association's Constitution (available at http://www.actgermanschool.org.au/about-us/german-language-school-constitution-8-april-2018)
Required
Use of photographs *
From time to time we may like to use group photos of our classes on our internet page, Facebook page and similar. We may also provide these group photos to the Embassies of German-speaking countries for use on their web/Facebook pages. Please indicate your consent or otherwise to using such group photos that include your child.
Required
Date *
DD/MM/YYYY
A copy of your responses will be emailed to the address you provided.
Submit
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