Application For Enrolment

Please scroll down to complete the online Application Form to commence the Firbank Learning Journey.

An Application Fee of $200.00 per child is required together with the completion of this form.

Given names(s)*
Surname*
Preferred Name
Date of birth DD/MM/YYYY*
Gender*
Copy of Student's Birth Certificate*
Nationality*
Religion*
Desired date of Entry*
Year Level of Entry*
Current School*
Current Year Level*
Sisters/brothers (and ages)*
Campus
Contact Details Parent/Guardian 1
Title
Given name*
Surname*
Email*
Address*
Mobile*
Occupation*
Company*
Contact Details Parent/Guardian 2
Title
Given name
Surname
Address
Mobile
Email
Occupation
Company
Please list any special needs, learning issues or circumstances that the School needs to be aware of in order to assist your child:
Special needs or learning issues
If parent/grandparent/other relative is an Old Grammarian of Firbank, please state:
Name at School
Relationship to student
House
Year left Firbank