STUDENT DETAILS
MOST RECENT SCHOOLS AND PRE-SCHOOLS
Before forwarding this application form, please ensure ALL section are completed.
If necessary N/A (not applicable) should be used where appropriate. Failure to
accurately complete all sections of the application form may result in the
school's inability to accommodate your child's needs and may affect your child's
continued enrolment. Complete application forms should be forwarded to : The registrar
St Paul Lutheran School, 44 Audrey Avenue, Blair Athol SA 5084.
FAMILY DETAILS ( PARENT/GUARDIAN 1)
OTHER CHILDREN IN THE FAMILY
PLEASE SUBMIT COPIES OF THE FOLLOWING DOCUMENTS WITH THIS APPLICATION
RELEASE OF INFORMATION
01.The school respect the privacy of personal and sensitive information
regarding your family. A copy of the school's privacy policy is available
through the school.
02. In situation where parents are separated, it the policy of the school
to release school reports to the mother and father of the student. It is
also our policy to allow both the mother and father to attend parent/
teacher interviews. However, the school will abide by any court orders,
which prevent the release of such information.
03. Some of the information the school collects is to satisfy the school's
legal obigations, particularly to enable the school to discharge its
duty of care.
04. Heath information about students is sensitive information within
the terms of the national Privacy Principals under the Privacy Act.
We may ask you to provide medical information or medical reports
about your child on an annual basis, at least.
05. The school from time to time discloses personal and sensitive
information to others for administrative and educational purposes.
This includes to other schools, government departments. Lutheran
Education SA/NT/WA, St Paul Lutheran Church, your own local
denominational congregation or parish, medical practitioners and
people providing services to the school including specialist visiting
consultants, sports coaches and volunteers
06. In the event of default of payment of fees, the school may refer the
default to a debt collection agency. If this occurs, personal information
will be disclosed to the agency and you will be responsible for the
collection costs.
07. The school from time to time is required to disclose personal and
sensitive information in order to comply with the law or to report
matters to the relevant persons or authorities.
08. If the school does not obtain the information referred to above,
it may not be able to enrol or continue the enrolment of your child.
09. Personal information collected from students is regularly disclosed
to their parents or guardians. On occasions information such as
academic and sporting achievements, student activities and other
news is published in the school newsletter, magazine, contact book,
promotional material, newspapers, television, special events
and our website.
10. The school from time to time angages in fundraising activities
information received from you may be used to make an appeal to you.
We will not disclose your personal information to third parties for their
own fundraising purposes without your consent.
11. If you provide the school with the personal information of others, such
as doctors or emergency contacts, we encourage you to inform them
that you are disclosing that information to the school and why that they
can access that information if they wish and that they school does not
usually disclose the information to third parties
PARENT/GUARDIAN DECLARATION
06. In the event of default of payment of fees, the school may refer the
default to a debt collection agency. If this occurs, personal information
will be disclosed to the agency and you will be responsible for the
collection costs.
07. The school from time to time is required to disclose personal and
sensitive information in order to comply with the law or to report
matters to the relevant persons or authorities.
08. If the school does not obtain the information referred to above,
it may not be able to enrol or continue the enrolment of your child.
09. Personal information collected from students is regularly disclosed
to their parents or guardians. On occasions information such as
academic and sporting achievements, student activities and other
news is published in the school newsletter, magazine, contact book,
promotional material, newspapers, television, special events
and our website.
10. The school from time to time engages in fundraising activities
information received from you may be used to make an appeal to you.
We will not disclose your personal information to third parties for their
own fundraising purposes without your consent.
06. In the event of default of payment of fees, the school may refer the
default to a debt collection agency. If this occurs, personal information
will be disclosed to the agency and you will be responsible for the
collection costs.
11. If you provide the school with the personal information of others, such
as doctors or emergency contacts, we encourage you to inform them
that you are disclosing that information to the school and why that they
can access that information if they wish and that they school does not
usually disclose the information to third parties
I acknowledge and accept the above release of information and parent/guardian declaration (clauses 1-20)
I declare that all of the information provided in this application is to the best of my knowledge, true and correct
Saint Paul Lutheran School
44 Audrey Avenue
Blair Athol SA 5084
Phone +61 8 8260 2655
Fax +61 8 8262 4216
[email protected] 
