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North Shore Polish School - 2025 Enrolment
The names on this form must be the same as the names the student is known by at the mainstream school. Please complete the information in English.
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Student's First and Middle Names
*
Your answer
Student's Last Name
*
Your answer
Student's Date of Birth
*
MM
/
DD
/
YYYY
Student's Gender
*
Male
Female
Student's Residential Address (Unit / House Number and Street)
*
Your answer
City / Suburb
*
Your answer
State
*
Choose
NSW
Other
Postcode
*
Your answer
Name of Australian School
(2025 enrolment year)
*
Your answer
Grade at Australian School
(2025 enrolment year)
*
Choose
Pre-K
K
Year 1
Year 2
Year 3
Year 4
Year 5
Year 6
Year 7
Address of Australian School (2025 enrolment year)
*
Your answer
City / Suburb
*
Your answer
State
*
Choose
NSW
Other
Postcode
*
Your answer
Parent 1 Full Name
*
Your answer
Parent 1 Occupation
*
Your answer
Parent 1 Phone Number
*
Your answer
Parent 1 Email Address
*
Your answer
Use for School and Class Communication
*
Yes
No
Parent 2 Full Name
*
Your answer
Parent 2 Occupation
*
Your answer
Parent 2 Phone Number
*
Your answer
Parent 2 Email Address
*
Your answer
Use for School and Class Communication
*
Yes
No
Emergency Contact - Other Than Parent (Name, Relationship, Phone Number)
*
Your answer
Student's Doctor and Phone Number
*
Your answer
List any medical conditions, special needs, court orders that might be in place for your child.
Your answer
Any additional information about your child and their level of Polish language proficiency.
Your answer
North Shore Polish School is a NUT FREE school.
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*
I have read the above, I acknowledge and agree not to send nut-based or nut products to school.
Required
PUBLICATION PERMISSION AND CONSENT
View Consent details
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*
I give my permission to NSPS to publish my child's information as described above.
I don't give my permission to NSPS to publish my child's information as described above.
Date signed
*
MM
/
DD
/
YYYY
Parent's Signature (please type full name)
*
Your answer
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