Form template - NORTH SHORE POLISH SCHOOL (SYDNEY)

North Shore Polish School - 2025 Enrolment Form

NAME OF COMMUNITY LANGUAGE SCHOOL: North Shore Polish School

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 capital letters in English.

Student's First and Middle Names *

Student's Last Name *

Student's Date of Birth *

DD/MM/YYYY

Student's Gender *

Male

Female

Parents / Carers Full Names *

Parents / Carers Occupation *

PARENTs / CARERS PHONE NUMBERS *

Parents / Carers email addresses *

Student's Residential Address *

If student resides at two or more addresses due to family circumstances, please provide the address the students spends most of the time at.

Emergency Contact Numbers (Other Than parent) *

Please provide mobile number and name for 2 people.

Student's Doctor and phone number *

Name of Australian School (current year) *

Current Grade at Australian School *

Address of Australian School *

List any medical conditions, special needs, court orders that might be in place for your child

Any additional information

North Shore Polish School is a NUT FREE school. *

I have read the declaration, I acknowledge and agree not to send nut-based or nut products to school.

View Allergy and Anaphylaxis Prevention Declaration (opens in new window)

PUBLICATION PERMISSION AND CONSENT *

I give my permission to NSPS to publish my child's information as described in the document below.

I don't give my permission to NSPS to publish my child's information as described in the document below.

View Publication Permission & Consent (opens in new window)

DATE *

Parent's Signature (Enter Full name in box) *

By entering your full name in the box, and submitting the form you acknowledge that all information in the form is correct, and that you wish to proceed with your child's enrolment at NSPS.

North Shore Polish School (NSPS) respects the privacy of its community members and complies with the requirements of the Commonwealth Privacy Act. All information collected will be used and stored in accordance with the NSPS's Privacy Policy. Further information on the NSPS's privacy policy is available here.