Registration Information

REGISTRATION FORM

PO Box 34 Mittagong NSW 2575 Australia
FAX: 02 4860 2101 (Int +61 2 4860 2101)

This form, completed, accompanied by a fee of $110 (inclusive of GST) and signed by a parent / guardian ensures a student's name is registered on the waitlist of Frensham.

STUDENT PARTICULARS
Given Names:
Surname:
Date of Birth:
Current School:
Nationality:
Australian Citizen:	Yes No
Permanent Resident:	Yes No
Religious Denomination:
Is the student Aboriginal or Torres Strait Islander origin? (For persons of both Aboriginal and Torres Strait Islander, mark both 'Yes' boxes.) No Yes, Aboriginal Yes, Torres Strait Islander

STUDENT REGISTRATION
Proposed Calendar Year of Entry:
Term of Entry:
Academic Year of Entry:
Status on Entry: Day Boarder Weekly Boarder Full Boarder
Applicant lives with: Both Parents Mother Father Guardian Other
Parents' Marital Status:
Siblings enrolled (current): Current:	Siblings enrolled (past): Past:
Mother - Old Girl? Yes No
Father - Past Student (Gib Gate)? Yes No
Other family connection:

MOTHER/GUARDIAN INFORMATION
Title:
Given Names:
Surname:
Home Address:
Suburb/City:
State:	Postcode:
Postal Address: (if different)
Suburb/City:
State:	Postcode:
Telephone (H):	(W):
Mobile:	Fax:
Email:
Occupation:
Employer:
Business Address:
Business Telephone
Signature: (Mother/Guardian)
Date:

FATHER/GUARDIAN INFORMATION
Title:
Given Names:
Surname:
Home Address:
Suburb/City:
State:	Postcode:
Postal Address: (if different)
Suburb/City:
State:	Postcode:
Telephone (H):	(W):
Mobile:	Fax:
Email:
Occupation:
Employer:
Business Address:
Business Telephone
Signature: (Father/Guardian)
Date:

How did you hear about the School?
Former student Advertising Always known
Word of mouth Other


		ENROLMENT PROCEDURE
		FEES & SCHOLARSHIPS
		REGISTRATION FORM
		PROSPECTUS REQUEST

	OR CLICK HERE TO DOWNLOAD THE REGISTRATION FORM AS A PDF DOCUMENT