PARENT DETAILS

First Name *

Last Name *

Email *

Phone *

Occupation *

Postal code *

Address *

Text

Are You Interested In Being A Founding Family (Donation)? *

Yes

No

What Capacity Are You Interested? *

Caregiver

Parent

Volunteer

Share with us the reasons that led your family to choose a Steiner school: *

CHILD DETAILS

How many children will enrol? (Max 5) *

Heads up! This form is capped up to 5 children. Email [email protected] if exceeding this limit.

Contact fields will show below

First Child Details

Indigenous Status

Residency Status

Please input the country if not an Australian resident.

Does child one have any unique medical or learning needs?

Please specify below:

Second Child Details

Indigenous Status

Residency Status

Please input the country if not an Australian resident.

Does child two have any unique medical or learning needs?

Please specify below:

Third Child Details

Indigenous Status

Residency Status

Please input the country if not an Australian resident.

Does child three have any unique medical or learning needs?

Please specify below:

Fourth Child Details

Indigenous Status

Residency Status

Please input the country if not an Australian resident.

Please fill in this section the relevant details concerning the medical conditions and educational needs of fourth child

Please specify below:

Fifth Child Details

Indigenous Status

Residency Status

Please input the country if not an Australian resident.

Please fill in this section the relevant details concerning the medical conditions and educational needs of child five

Please specify below:

I agree and read carefully the Terms and Conditions for the Expression of Interest (EOI) for the Queensland New Independent School Initiative. By submitting an EOI, you agree to be bound by these terms and conditions.