» Student Registration Page  
  * Indicates Compulsory Entry  
   » Student Details  
 
First Name :  *
Last Name :  *
Date of Birth : DD/MM/YYYY  *< Click to Select Date
Age at 1st February :  *
Preferred Name :  *
 
  » Address Details  
 
Address 1 (Street / Road / Rapid Numbers ) :  *
Address 2 (Street / Road Name ) :  *
Address 3 (RD Number - If Applicable) :
Address 4 (District / Town) :  *
Address 5 (Postcode) :  *
 
  » School Details  
 
School Name :  *
School Year Level:  *
Application Date :
 
  » Bus Route Details  
 
Route Name :
Request for Bus Service Terms ?
  Term 1 Term 2 Term 3 Term 4
Yes
No
Daily Service ?

It is compulsory to select at least
one box for each day.
 Select All
  Mon Tue Wed Thu Fri
A.M
P.M
Neither
 
  » Caregivers Details  
 
  Caregiver 1 Details Caregiver 2 Details
Name :  *
Surname :  *
Daytime Telephone Number :
Do not include 03 area code		  *
Evening Telephone Number :
Do not include 03 area code		  *
Cell Phone Number :
Relationship to Child ? :  *
E-Mail :