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Registration Form

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Particulars of Child

Formerly known as Little Wetherby Edge Street

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Student’s Name

Student First Name

Middle Names

Student Surname

Preferred Forename

Date of Birth

Gender

MaleFemale

Nationality

Proposed Year Level

Attendance

N1 (2-3 yrs) Part Time (8.15 am to 12.00 pm)N1 (2-3 yrs) Full Time (8.15 am to 3:15/3:50 pm)N2 (3-4 yrs) Full Time (8.15 am to 3:15/3:50 pm)

For more information on this, please visit the Frequently Asked Questions session on our website.

Enrollment Year

Term of Entry

AutumnSpringSummer

Home Address

Street Address 1

Street Address 2

City

County

Country

Postcode

Religious Denomination

Name of nursery child is currently attending

Name of any school for which your child is registered to attend in the future.

Name of School/s