Enrolment Form

If you have decided to enrol your child/ren at our Little Hercules Playgroup / Kinder, you can use any of these forms. 
For general enrolment enquiries you can use the Enrolment Enquiry form.

STUDENT INFORMATION

First Name & Middle Name*
Family Name*
Name in Greek
Student Name in English has to be EXACTLY as enrolled at Day school, to comply with Department of Education expectations.
Gender* MaleFemale
Date of Birth* (Please ensure you select correct year)
Year Level at Day School in 2017*
Name of Day School. If not at school yet, please write 'Not at School'*
Day School Suburb/Campus
Your Residential Street Address and Number*
Your home Suburb*
Your home Post Code*
Home phone

PARENT / GUARDIAN INFORMATION

Father's Name*
Mobile phone
Father's Email
Lives with Student YesNo
Mother's Name*
Mobile phone*
Mother's Email*
Lives with Student YesNo
Preferred contact person* : * MotherFather
Please note we need at least one mobile number above

STUDENT MEDICAL CONDITION

Does the student suffer from any allergies?


Anaphylaxis

YesNo

  Please provide the school with a copy of your Action Plan and ensure your child's EPIPEN is in the school bag:

Asthma

YesNo  Please provide the school with any special instructions and ensure your child's puffer is in the school bag: :

Food Allergy

YesNo Please provide more information:

Other Allergy

YesNo Please provide details of any medication carried to school and instructions on how to use it:

 Any other Medical Condition?

Other condition

 What condition?HearingSpeechVisionMobilityOther

 Please provide more details:

EMΕRGENCY CONTACT DETAILS

Please provide two alternative emergency contacts (not parent) in case the school is unable to contact you in an emergency.

Emergency Contact No. 1 *

Full Name:
Phone # :
Kinship :

Emergency Contact No. 2

Full Name:
Phone # :
Kinship :

SCHOOL MEDIA & EMERGENCY CONSENT

SCHOOL MEDIA*:
I give permission for my child to participate in any appropriate school media activities. This permission includes the right to be photographed or filmed in a school activity by the school, press or television networks. Photos or videos could be published in any or all of the following: school newsletter, school website, newspapers or other print media. I understand and agree that if I wish to withdraw this authorization it will be my responsibility to inform the school in writing.

YesNo
MEDICAL EMERGENCIES*:
I understand that in case of an emergency such as an injury or the child becomes ill during school hours, I give permission to the school to call an ambulance or a medical practitioner to cater for my child’s medical needs, where I cannot be contacted.

YesNo

CHOICE OF WEEK DAY +

Select preferred Greek Class Day * (Tuesday only Kinder to Yr 5):
Monday 5pmTuesday 4pmFriday 5pmSat 9:30am
Any special requests or comments you may wish to convey to Zenon Administration (optional)
Name of person completing this form*:
Date*:
Please complete this simple mathematical equation:

LEGAL

 I have read the Terms and Conditions as set by Zenon Education Centre I Accept

- and I choose this payment method *:

Where did you first hear about Zenon

The school's preferred method of communication is Email. Please white-list the school email address in your email settings.
If you don't, school emails may end up in junk. Also please observe guideline dates when invoiced about school fees.