The Community language Schools SA

Student Enrolment Application

Community language schools offer the widest range of languages
of any Australian educational institution.

Student Enrolment Application

Community language schools offer the widest range of languages
of any Australian educational institution.

Student Details

(Student Info, Mainstream School Details, Medical Information, Family Court Order)

Parent or Caregiver Details

(Parents Info, Emergency Contact)

Declaration and Consent

(Declaration and Consent Details)

Surname/Last Name *

Given Name/First Name *

Middle Name

Informal Name

Gender *

Date of Birth *

Age *

Home Address *

Suburb *

Country of Birth *

Language/s spoken at home *

Parent or Student Mobile Number

School Name *

School Location *

School Address *

Language *

Student's SPEAKING level *

Student's WRITING level *

Has this child studied this language before? *

Yes

Did this child attend this community language school last year? *

Yes

Will this student be studying this language as a SACE unit this year? *

SACE Stage 1

SACE Stage 2

School Name *

Year Level

Allergic reaction / anaphylaxis

Asthma

Diabetes

Heart condition

Seizures / epilepsy

Other

Are there any special circumstances about the student seeking to be enrolled that the school should know prior to enrolment? *
(e.g., living apart from parental supervision, subject of a court order, subject of bullying by others, out of home care arranged by the state).

Yes

Does the student need support for learning or disability? *

Yes

Hearing/deaf

Physical

Intellectual

Learning

Mental illness

Acquired brain impairment

Vision

Medical condition

Other

If the student needs learning support, please tell us what helps the student learn or what changes might be needed:

Changes to teaching

Help with speaking or listening

Special equipment or seating

Help with personal care

Help to join social activities

Other

Does the child have a learning support plan? Yes / No

Yes

Name – Given name then Surname *

Relationship to Student *

Email *

Mobile Phone *

Postal Address *

Suburb *

Name – Given name then Surname

Relationship to Student

Postal Address

Same as Above

Suburb

Name *

Contact Phone *

Supervision and Behaviour: I agree that Community Language School staff will supervise the student during classes and activities. Staff may take reasonable action, within school policies, to support safety and good behaviour.

Yes

Medical Treatment: If the student becomes sick or injured and the school cannot contact me, I give permission for Community Language School staff to arrange medical or dental treatment that a doctor, hospital, or ambulance service says is necessary.
I agree to pay any medical, dental, or ambulance costs.

Yes

Medication: I give permission for staff to give the student medication only when I provide written instructions using the correct Medication Authority form.
All medication must:

be prescribed by a doctor
be in the original container
have the student’s name on the label
not be expired
follow the written instructions from a doctor

Yes

Student Absence: I agree to tell the Community Language School as soon as possible if the student will be absent.

Yes

Withdrawal: I agree to give two weeks' written notice if the student will stop attending the Community Language School.

Yes

Photography and Video: Sometimes students may be photographed or filmed at special events or for newsletters, websites, social media, or other school-related promotion.
I give permission for the student to be photographed or filmed, and for their name, photos, or videos to be used for non-profit promotional purposes by:

Community Language Schools SA
the student’s Community Language School
the Government of South Australia (including elected members and department staff)

I understand that some publications may be permanent.

Yes

Short Local Walks: Teachers may take students on short walks near the school as part of their learning program. These walks will not occur in extreme heat or bad weather.
This consent does not include excursions that use transport or require payment. Those activities will need separate permission forms.

Yes

Special Activities or Presentations: I give permission for the student to join activities where visitors share skills, knowledge, or cultural experiences.

Yes

Fees and Charges: I agree to pay all fees and charges provided to me by the Community Language School.
I understand that unpaid fees may be collected by the school as a debt.

Yes

By signing below I agree to the above and declare that all information I have provided in this form is true and correct to the best of my knowledge.

I agree to allow the community language school staff to be responsible for supervising my child during class. The staff may take any disciplinary action within school policy to ensure the safety and well-being of all students.
If my child is sick or hurt, and the school staff cannot reach me, I give permission for staff to arrange medical or dental treatment that a doctor or hospital recommends. I agree to pay for any ambulance, medical, or dental expenses for my child.
I agree that staff may give my child medication if I request this. I understand that all medication given at school must be prescribed by a doctor, in its original container, labelled with my child’s name, and must not be expired. Medication will only be given according to the doctor’s instructions as documented on the appropriate Medication Management and Authority form.
I agree to tell the school as soon as possible if my child will be absent from class.
I agree to give the school two weeks' written notice if I decide to withdraw my child from the school.
I give permission for my child to be photographed or filmed during events or for school promotions. I agree that these images, along with my child’s name, may be used by the Community Language Schools SA, my child’s school, or the Government of South Australia for non-profit purposes. I understand that these publications are generally permanent.
I give permission for my child to go on short local walks with their class as part of the school program. These walks can happen anytime during the year unless there is bad weather. I understand that for any long trips or excursions requiring transport, the school will send me separate permission forms.
I give permission for my child to join any activities organized by the school, where people come to share skills or experiences with my child.
I confirm that this is the only community language school my child attends. (or, please identify the other community language school/s your child attends)
I/we certify that this school is the only Community language School my/our child attends.Or My/Our child is also enrolled at (if applicable):
I agree to pay all school fees and charges shared with me by the school. I understand that if I do not pay, these charges may be collected as a debt by the school.

School policies are available for viewing or download at: https://www.clssa.sa.edu.au/policies-and-procedures/

Signature of Parent 1 *

Sign here

Upload your sign or add your digital signature.

Or No file Chosen

Date

I confirm that I am the person who has signed above in the box “Signature of Parent 1” and that my name is typed below as “Name of Parent 1”.

Name of Parent 1 *

Signature of Parent 2 (not compulsory)

Sign here

Or No file Chosen

Date

I confirm that I am the person who has signed above in the box “Signature of Parent 2” and that my name is typed below as “Name of Parent 2”.

Name of Parent 2

Name of Person Enrolling the student *

Student Details

(Student Info, Mainstream School Details, Medical Information, Family Court Order)

Parent or Caregiver Details

(Parents Info, Emergency Contact)

Declaration and Consent

(Declaration and Consent Details)

Student Details

Students Over 18

Community Language School Details

SACE Program

Mainstream School Details

Medical Information

Student Support

Parent Details

Emergency Contacts

Declaration and Consent

Student Enrolment Application

Community language schools offer the widest range of languages of any Australian educational institution.

Student Enrolment Application

Community language schools offer the widest range of languages of any Australian educational institution.

Student Details

(Student Info, Mainstream School Details, Medical Information, Family Court Order)

Parent or Caregiver Details

(Parents Info, Emergency Contact)

Declaration and Consent

(Declaration and Consent Details)

Student Details

Students Over 18

Community Language School Details

SACE Program

Mainstream School Details

Medical Information

Student Support

Parent Details

Emergency Contacts

Declaration and Consent

Community language schools offer the widest range of languages
of any Australian educational institution.

Community language schools offer the widest range of languages
of any Australian educational institution.