Plympton Primary School - Department for Education

Enrolment Enquiry

Date of Enquiry

Tour Date

Starting Date

Childs Name *

DOB

Year Level

Add another child? *

Parent Name *

Phone *

Email *

Parent Name (Parent #2) *

Phone (Parent #2)

Email (Parent #2)

Address *

Address Line 1

City

State / Province / Region

Postal Code

Country

Anticipated Starting Date *

Kindy/Day Care/Previous School

Health/Medical Condition

Class placement considerations

Special Needs/Interests of student

Visa status

Any other information