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Genesis Christian College – Prep – Yr 12 | Independent | Christian | Co-educational school in Bray Park Logo Genesis Christian College – Prep – Yr 12 | Independent | Christian | Co-educational school in Bray Park Logo Genesis Christian College – Prep – Yr 12 | Independent | Christian | Co-educational school in Bray Park Logo
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All About Me – Prep Information Form

All About Me – Prep Information FormTaryn Thomas2022-06-23T15:35:30+10:00

ALL ABOUT ME

Prep Information Form

Step 1 of 10

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MY INFORMATION (Prep Student)

Student Surname(Required)
Student First and Middle Name(Required)

MY FAMILY ORDER

Order in the Family (Oldest to Youngest Siblings)
Child/Sibling Name
Age
Year of Birth
 

EARLY CHILDHOOD EDUCATION

Where I attended Kindergarten, Family Day-care or Childcare
Name of Kindergarten
Length of time attended
Number of day per week attened
 

COLLECTION PERMISSION

People I know who have permission to collect me from Prep
Name
Relationship to child
Mobile phone number
Home phone number
 
Parental Permission for Collection(Required)
Parent/Guardian Name(Required)

EMERGENCY CONTACT

This contact must be supplied to the College and updated when required. IMPORTANT If there are any changes to your address, phone numbers, emergency contact persons, email or other important information during your child’s enrolment at Genesis Christian College, you must change these details on Parent Lounge – the online portal of the College’s School Management System.

BEFORE AND AFTER SCHOOL CARE

This contact must be supplied to the College and updated when required. IMPORTANT If there are any changes to your address, phone numbers, emergency contact persons, email or other important information during your child’s enrolment at Genesis Christian College, you must change these details on Parent Lounge – the online portal of the College’s School Management System.
I will attend before and/or after school care on these days.
Day of the Week
Before School
After School
OSHC Centre of Family Day-Care Name
Phone number
Child arrives or collected by center bus in the morning?
Child arrives or collected by center bus in the afternoon?
 
Does the student attend church, Sunday school or Christian youth/play group
Attendance(Required)
Christian Leader's Reference
There is no need to update your Christian Leader's Reference if you have previously provided one. However, if you are able to provide a reference at this time, please follow upload below.
Is this child from a non-Christian background or other religion?
Drop files here or
Max. file size: 10 MB.

    Medical Needs

    Does this student have any of the following medical needs? If yes to any medical needs, please provide detailed information (including reports from Specialist/s if available).
    Vision
    Allergies
    Hearing
    Serious illnesses, operations or accidents
    Asthma/Respiratory Problems
    Blood Disorder
    Diabetes
    Epilepsy
    Heart Condition
    Migraine
    Drop files here or
    Max. file size: 10 MB.

      Specialist Services

      Has this student attended or is scheduled to attend any of the following Specialist services? If yes to any specialist services, please provide detailed information (including reports from Specialist/s if available).
      State/Child Guidance/Counsellor
      Specialist Clinic (Hospital/Private)
      Speech Pathologist
      Audiologist
      Occupational Therapist
      Educational Psychologist/Consultant
      Physiotherapist
      Paediatrician
      Psychiatrist/Psychologist
      Other (e.g. Optometrist)

      Drop files here or
      Max. file size: 10 MB.

        Educational Needs / Disability / Impairment

        Has your child ever been diagnosed/verified or suspected as having any of the following? If yes to any Educational Needs, please provide detailed information (including reports Specialist/s if available).
        Autism/Asperger's
        Vision Impairment
        Hearing Impairment
        Learning Difficulty/Disability
        Intellectual Impairment
        Dyslexia
        Development Delay
        Attention Deficit Disorder ADD
        Physical Impairment
        Attention Deficit Hyperactivity Disorder ADHD
        Speech Language Impairment
        Obsessive Compulsive Disorder OCD
        Other

        Drop files here or
        Max. file size: 10 MB.

          Educational Adjustment Programs (EAP) / Ascertainment

          Has the student been assessed as Gifted and Talented?
          Has the student repeated a year level?
          Has the student been accelerated a year level?
          Has the student received learning enrichment extension?
          Has the student received learning enrichment support?
          Has the student received an Educational Adjustment program?
          Drop files here or
          Max. file size: 10 MB.

            Psychological / Emotional / Pastoral Care Needs

            Does the student have any social difficulties with other children?
            Has the student been victimised or bullied in a previous educational setting?
            Does the student require support in regards to specific emotional needs? e.g. loss of parent, trauma, social stresses, family breakdown?
            Are any of the listed conditions above likely to affect the student’s ability to participate fully in school activities? (e.g. classroom learning, socialisation, sport, camps, excursions etc.)
            Does the student suffer from any psychological conditions? e.g. OCD, Phobias, Depression, Anxiety

            Outstanding Documents

            Drop files here or
            Max. file size: 10 MB.
              Disclosure and Release of Information
              Please note the following conditions of enrolment at Genesis Christian College as specified in the Student Enrolment Contract; full and frank disclosure of all information must be provided by the parent/s, in writing, to the College regarding the student's medical, educational, physical,
              emotional, or psychological conditions, during the enrolment process, leading up to the commencement of enrolment, and ongoing throughout the student’s enrolment at the College. Failure to provide full and frank disclosure in writing may be in breach of the subsequent contractual agreement thus rendering it void and the enrolment offer or ensuing enrolment, may be withdrawn.

              Privacy Information: Genesis Christian College collects information about students to enable the College to provide appropriate education and support for each student and to discharge duty of care. Permission for release of information is obtained upon application for enrolment for this purpose. A request may be made by the College on behalf of parents to obtain school records or make contact with teachers and other professionals to assist in the education and support of students.
              Parent/Guardian Name

              Enrolment Information

              Find out how to enrol at Genesis and download our schedule of fees.

              Learn More

              Register Your Interest

              Register your interest at Genesis Christian College.

              Learn More

              College Prospectus

              Learn how we nurture and guide students in developing individual pathways.

              Learn More
              Genesis Christian College is a co-educational Prep-Year 12 Christian school, located in Bray Park. Genesis caters for over 1500 students on one dynamic site.
              • 12-16 Youngs Crossing Road Bray Park QLD 4500
              • PO Box 5206, Brendale QLD 4500
              • admin@genesis.qld.edu.au
              • Absentee Line: (07) 3882 9033
              • (07) 3882 9000
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