Admission Application Form

Application for grade________ Commencing Year ________________________

Student Name __________________________________ Age ____DOB _________

Male ___ Female ___ Health Card Number: _________________________________

Home Address: _____________________________ Postal Code: ______________

Home Telephone: __________ Fax Number: _________ E-mail: ________________

Name of Current School: _______________________________________________

Address: __________________________________________________________

Parent/Guardian Information:

Student resides with::____ Both Parents ____ Father ____ Guardian

Any additional information regarding living arrangements: ______________________

Mother/Guardian: -

Name _____________________________________________________________

Address ___________________________________________________________

Telephone (home) ____________________________________________________

Employer ___________________________________________________________

Occupation __________________________________________________________

Phone (work) ________________________________________________________

Father/Guardian: -

Name _____________________________________________________________

Address ___________________________________________________________

Telephone (home) ____________________________________________________

Employer ___________________________________________________________

Occupation __________________________________________________________

Phone (work) ________________________________________________________

Any other relevant numbers _____________________________________________

Emergency Contact: __________________________________________________

Voice Intermediate School is a non-denominational, co-educational, independent school for students in grades 6, 7 and 8. The school administrator reserves the right to ask for the removal of any student who repeatedly fails to comply with the code of behaviour expected by the school. I understand that under the above circumstance tuition is non-refundable.

Signed ________________________________________

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