Change of Details

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Student’s Details

If more than one child attends the school please enter the details of the eldest child.

* indicates required.

Student’s Name *

Student’s Date of Birth *

Gender *
MaleFemale

Class *
---KBI (Ms Barratt/Ms Idstein)KM (Ms San Miguel)KR (Ms Revell)KS (Ms Stapleton)K/1N (Mr Stevens)1A (Ms Antoniades)1P (Ms Pinder)1W (Ms Waples)2B (Ms Baboujon)2M (Ms Mann)2V (Ms Bell)2W (Ms Wallington-Jones)3A (Mr Lade)3G (Ms Garcia)3P (Mr Gray)3V (Ms Varvaressos)4/5/6M (Ms Mitchell)4H (Mr Hunt)4P (Ms Padki)4T (Mr Tranter)5L (Ms Barry)5T (Mr Trudgett)5/6B (Ms Barnfield)6L (Mr Latham)6N (Mr Nance)

Home Address *

Parent/Guardian 1

Name *

Email *

School Hours Contact No. *

Mobile No.

Home Phone

Relationship to Student *
---MotherFatherGrandparentGuardianCarer

Parent/Guardian 2

Name

Email

School Hours Contact No.

Mobile No.

Home Phone

Relationship to Student
---MotherFatherGrandparentGuardianCarer

Emergency Contact 1

Name

School Hours Contact No.

Mobile No.

Relationship to Student
---MotherFatherGrandparentExtended familyGuardianCarerFriend

Emergency Contact 2

Name

School Hours Contact No.

Mobile No.

Relationship to Student
---MotherFatherGrandparentExtended familyGuardianCarerFriend

Your Email *