Student Details

(Student Info, Mainstream School Details, Medical Information, Family Court Order)

Parent Details

(Parent Info, Emergency Contact)

Declaration and Consent

(Declaration and Consent Details)

Student Details


Community Language School Details


Mainstream School Details


Medical Information


Student Details - Additional Information


Special Circumstances
Students with additional learning and support needs, including disability

Family Court Orders


No file chosen

Parent Details


Parent 1
Parent 2

Emergency Contacts


Person 1
Person 2

Declaration and Consent


I/we agree to delegate my/our authority to supervising ethnic school staff. Such supervising staff may take whatever disciplinary action they deem necessary to ensure the safety, well-being and successful conduct of the students as a group and individually.

In the event of an accident or illness and contact with me/us being impracticable or impossible, I/we authorise ethnic school staff to arrange whatever medical or surgical treatment a registered medical or dental practitioner, hospital or ambulance service (including transport to a hospital) considers necessary. I/we will pay all ambulance, medical and dental expenses incurred on behalf of my/our child.

I/we consent to the staff administering medication if so requested by me/we in writing using the appropriate medication authority form (I/we recognise all medication administered at the school will only be given if the medication has been prescribed by a registered medical practitioner; from its original container; bearing the original label with the name of the child to whom the medication is to be administered; and before its expiry or use by date. I/we understand that such medication should be administered in accordance with any instructions attached to the medication or written instructions provided by a registered medical practitioner using a medical management form).

I/we agree to notify the school as soon as possible if my/our child will be absent.

I/we agree to give two weeks written notice to withdraw my/our child from the school.

There are times when children may be photographed or filmed: e.g. Special events, newspaper/newsletter articles, television news items, website articles, social media articles. I/we give permission for my/our child to be filmed or photographed and for the photos or films – together with their name – to be used for non-profit promotional purposes. This includes publication for or on behalf of The Ethnic Schools Association of South Australia, my/our child’s community language school or the Government of South Australia and its elected members and department staff. We acknowledge that publication is generally of a permanent nature.

From time to time teachers will take classes on short local walks as part of the school’s educational program. These walks will take place at any time during the year. It is understood that in extreme heat or inclement weather conditions, such walks would not take place.I/we give consent for my/our child to go on short local walks.

Note - excursions involving the use of transport or whole day activities are not included in this consent. For each excursion involving transport and/or a financial cost, a separate notice will be provided and separate consent forms collected.

I/we give consent for my/our child to participate in any incursions the school may organise, where people share their skills, knowledge, experiences etc. with my/our child.

I/we certify that this school is the only Ethnic School my/our child attends.
Or
My/Our child is also enrolled at (if applicable):

I/we agree to pay all charges made aware to me/us by the school that I am/we are enrolling my/our child. I/we understand that this charge is legally recoverable as a debt of the school in the event of my/our non-payment of those charges.

By signing below, I/we declare that:

  • I/we have been made aware of and will abide by the policies of the school
  • the information provided by me/us in this enrolment form is true and correct
  • accept all conditions and responsibilities that come with enrolling my/our child when signing this form
  • will inform the school of any changes to this information as it occurs

School policies are available for viewing or download at: https://www.esasa.asn.au/school-information/policies-for-ethnic-schools/

Upload your sign or add your digital signature.

I confirm that I am the person who has signed above in the box “Signature of Parent 1” and that my name is typed below as “Name of Parent 1”.

I confirm that I am the person who has signed above in the box “Signature of Parent 2” and that my name is typed below as “Name of Parent 2”.

Privacy Disclaimer

The school acknowledges and respects the privacy of its community. The information that is being collect by the school is to process your enrolment. By completing this form, you have consented to this information being collected. The intended recipients of this information are the school, The Ethnic Schools Association of South Australia Inc. and for interaction with the Government of South Australia who provide funding to ethnic schools. The information collected will not be released for any form of commercial gain and will be maintained in a secure location as per the requirements of the Privacy Act. You have the right to access and alter personal information concerning yourself or your child in accordance with the Privacy Act 1988 and the school’s record management policy. The contact information of students will be shared publicly only when the express permission is given to The Ethnic Schools Association of South Australia to do so or under mandatory reporting requirements.