Request Information Pack

Enrolment

Title
First Name
Last Name
Email
Address
Suburb
Country
Postcode
Phone Business Hours
Phone After Hours
Phone Mobile
Residential Status	Australain Citizen Australian Permanent Resident International
1st Students Name
1st Students Date of Birth
1st Students Gender
1st students School Entry Year - eg Year 10 - 2010
2nd Students Name
2nd Students Date of Birth
2nd Students Gender
2nd students School Entry Year - eg Year 10 - 2010
Do you require Homestay?	Yes No
Name of sons or daughters current school
Is mother or father an Old Grammarian?	Yes No
How did you hear about Tintern Schools?
Comment