Enrolment Form l Etoile du Nord

SECTION 2: PARENTS/CAREGIVERS
- Parent or Caregiver #1
- Name
  Prefix First Last
- Email Address
  Enter Email Confirm Email
- Your Relationship to the Child
  - Parent
  - Step-parent
  - Guardian
- Relationship to the Child
- Home Address
  Same as child's
  
  Street Address Suburb City Postcode Country
- Home Ph.
  Mobile Home Work
- Occupation
- Ethnicity
- Parent or Caregiver #2
- Parent #2: Name
  Prefix First Last
- Parent #2: Email Address
  Enter Email Confirm Email
- Parent #2: Relationship to Child
  - Parent
  - Step-parent
  - Guardian
  - Other
- Relationship to the Child
- Parent #2: Home Address
  Same as child's
  
  Street Address Suburb City Postcode Country
- Parent #2: Home Ph
  Mobile Home Work
- Parent #2: Occupation
- Parent #2: Ethnicity
Custody/Access Issues
Court order issued
If Yes, please supply documentation
Drop files here or
Emergency Contacts
For when parents/caregivers are unable to be contacted.
Emergency Contact 1
Full Name Relationship to Child Contact Numbers (Daytime, Mobile) Email address
Emergency Contact 2
Full Name Relationship to Child Contact Numbers (Daytime, Mobile) Email Address

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Enrolment Form