Enrolment Form 2024 Step 1 of 6 16% Family Name(Required) First name(Required) Middle name(s) Date of birth(Required) MM slash DD slash YYYY Sex(Required) Male Female Other Home Address(Required) Street Address City State / Province / Region ZIP / Postal Code Student’s mainstream school name Student’s mainstream year level Victorian Student Number (VSN) (where known)**The VSN is a nine-digit numberYear in which you are seeking to enrol this student at the CLS123456789101112 Student Australian Residency Status Australian citizen/Permanent resident Fee-paying international student Other If Other, please specify: Parent/Guardian DetailsName of Parent/Guardian Relationship to student Work phoneMobile phoneEmail Emergency Contact Details (only complete if different from parent/guardian details)Emergency contact name Relation to student Emergency contact phone Medical InformationDoes your child suffer from any medical condition? (e.g. asthma, epilepsy, allergies etc.)? Yes No If Yes, please specify and provide a medical plan (e.g. asthma, anaphylaxis etc.)Is your child currently on any medication? Yes No If Yes, please specify The information about your child and family collected through this enrolment form will only be shared with school staff who need to know to enable the community language school to educate or support your child, or to fulfil legal obligations including duty of care, anti-discrimination law and occupational health and safety law. This includes using the contact information provided if there are any emergencies or medical issues. Residency status is checked to ensure that your child is eligible for funding. Your child’s name, date of birth and mainstream school name/s will be shared with the Department of Education (the Department) to confirm funding eligibility. The information collected will not be disclosed beyond the community language school or the Department without your consent, unless such disclosure is lawful. For more about information-sharing and privacy, see the Department’s privacy policy at: http://www.education.vic.gov.au/Pages/privacy.aspx If you have any queries about the handling of your information by the community language school or to correct and update your information please contact the school. Parent/Guardian Privacy Consent and Declaration I confirm that the information provided on this enrolment form is true and correct and I acknowledge and agree to the terms and conditions of enrolment accompanying this enrolment form. I consent to: ● the collection of my child’s health and personal information by the community language school for the purposes mentioned in this form; ● the community language school disclosing my child’s personal information contained in this enrolment form (name, date of birth and mainstream school name), to the Department of Education for data verification and funding purposes I understand that the Principal or teacher (where the Principal or teacher in charge is unable to contact me) is allowed to disclose personal and health information to professional third parties in the event of a medical emergency, in accordance with Victorian privacy law.Name of Parent/Guardian Signature of Parent / GuardianMax. file size: 2 MB.Date MM slash DD slash YYYY During the school year there are many occasions and events where staff may photograph, film or record students participating in school activities and events. We do this for many reasons including to celebrate student participation and achievement, or to communicate with our parents and school community. This notice applies to photographs, video or recordings of students that are collected, used and disclosed by the school. We ask that any parents/carers or other members of our school community photographing, filming or recording students at school events (e.g. concerts, sports events etc) do so in a respectful and safe manner and that any photos, video or recordings (“images”) of students are not publicly posted (e.g. to a social media account) without the permission of the relevant parent/carer. If you do not understand any aspect of this notice, or you would like to talk about any concerns you have, please contact the community language school. I consent to my child being photographed or audio/visually recorded participating in class or school activities for the use and purposes of sharing ● with other families in the school that will only be sent to school families in my child’s class. ● in the school newsletter. ● on the school website, in CLS marketing or CLS social media sites.Please select one of the two options: I agree to the community language school using photos, videos or recordings of my child as described above. I do not agree to the community language school using photos, videos or recordings of my child as described above