Online Enrolment Form

Section 1: Student Details
Surname:*
Legal surname on birth certificate:*
1st name: (given name)*
2nd name: (middle name)
3rd name: (if applicable)
Preferred name:
Date of Birth:*
Gender:*
- Male
- Female
- Indeterminate/Intersex
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Home Telephone:
Student Mobile: (if applicable)
Student Number (if known)
Unique Student Identifier number (USI)
Prospective start date:
DD slash MM slash YYYY
Which year is the student enrolling into?*
- Year 7
- Year 8
- Year 9
- Year 10
- Year 11
- Year 12
Does the student have any siblings (brothers or sisters) at Yanchep Secondary College?*
- Yes
- No
Sibling's Name Date of Birth
Is this student subject to any court orders in respect of their care, welfare and development?*
- Yes
- No
If YES, please specify and attach supporting documentation.
Max. file size: 16 MB.
Is this student subject to Access Restriction?*
- Yes
- No
If YES, please specify and attach supporting documentation.
Max. file size: 16 MB.
Is this student in the care of the Child Protection and Family Services (CPFS) Chief Executive Officer?*
- Yes
- No
If YES, please specify the CPFS Case Manager, their CPFS District and their Contact telephone number.
What school did the student previously attend?*

(If previously enrolled in Home Education, please specify Education Region)
Reason for leaving

Section 4: Additional Contacts
*For an emergency where the parent/guardian/carer cannot be contacted, please provide additional contacts below. For independent students this is the 1st point of contact in an emergency.
Additional Contact 1
Title

(Mr/Ms/Mrs/Miss/...)
Name
First Last
Relationship to student:

(e.g. grandmother, aunt)
Telephone 1
Telephone 2
Additional Contact 2
Title

(Mr/Ms/Mrs/Miss/...)
Name
First Last
Relationship to student:

(e.g. grandmother, aunt)
Telephone 1
Telephone 2

Section 5: Order of Emergency Contacts
Please list below the order of parent/guardian or contact to be called in case of emergency.
Emergency Contact: Preference 1
Name
First Last
Phone
Emergency Contact: Preference 2
Name
First Last
Phone
Emergency Contact: Preference 3
Name
First Last
Phone

Section 8: Additional Information
Is your child currently enrolled in the School of Instrumental Music Program (IIMS)?
- Yes
- No
Is your child enrolled in any extra curricular activities they would like to continue?
- Yes
- No
If YES, please specify:
SENIOR SCHOOL ONLY: Is your child enrolled in a Certificate Course or Specialised program they would like to continue?
- Yes
- No
If YES, please specify:

Section 10: Documents
Please upload the applicable documents below.
Hidden
Year 7 Curriculum Interest Areas (Year 7 students only)
Max. file size: 16 MB.
USI (This is only applicable to Years 10,11 & 12)
Max. file size: 16 MB.
Student Driver Agreement Form (This is only applicable to Years 11 & 12)
Max. file size: 16 MB.
ICT Acceptable Use Agreement (Applicable to all students)
Max. file size: 16 MB.
ICT agreement*
- I have completed the ICT agreement and attached it with this enrollment application.
- I will submit a paper copy of the ICT agreement to the school office.
Parent's ID Documents
Please upload the applicable documents below.
Birth Certificate
Max. file size: 16 MB.
Immunisations
Max. file size: 16 MB.
Proof of Address (1)
Max. file size: 16 MB.
Proof of Address (2)
Max. file size: 16 MB.
Section 11: Declaration
All students will adhere to the policies and processes of Yanchep Secondary College

1. All students will wear appropriate uniform
2. All students will attend school regularly
3. All students will behave according to the Yanchep Approach to Classroom Practice
4. All students will strive to achieve their personal best 5. All students will contribute to a positive reputation for Yanchep Secondary College
6. Parents/Guardians should be aware that the college and its staff members are not liable for injuries or damage to property which may occur, in all circumstances where staff have not been negligent

It is your responsibility to notify Yanchep Secondary College in writing of any changes to the information provided on this enrolment form.
Name of parent/guardian enrolling the student and providing consents:*
Relationship to student:*
(Signature)*
I agree
Date*
DD slash MM slash YYYY

Online Enrolment Form

Step 1 of 10 - Section 1: Student Details

Section 1: Student Details

Section 2: Parent/Guardian Details

Parent/Guardian 1

Parent/Guardian 2

Section 3: Parent/Guardian Background Information

Parent/Guardian 1

Parent/Guardian 2

Section 4: Additional Contacts

Additional Contact 1

Additional Contact 2

Section 5: Order of Emergency Contacts

Emergency Contact: Preference 1

Emergency Contact: Preference 2

Emergency Contact: Preference 3

Section 6: Student Details – Additional Information

Section 7: Medical

Administration of Medication

Informed Consent

Section B: Disability

Section C

Section C: Consent for photo identification on your child's health care plan

Section 8: Additional Information

Section 9: Additional Consents

Section 10: Documents

Parent's ID Documents

Section 11: Declaration

Sibling's Name	Date of Birth