Students Registration Form 2026

Thank you for considering Coram Deo micro-school for your child’s education.

To enrol your child, simply complete the registration form below and submit a $50 application fee (payable via credit/debit card on the last page of the form or via bank transfer). Upon receiving the payment, your child will be added to our waiting list. It usually takes 15 to 20 minutes to complete the form.

Before you begin, we recommend that you:

check out ParentU’s free course Is classical education right for your children?
review the instructions page

Feel free to contact us for any questions you might have that were not addressed in the FAQs.

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- Step 1 of 12

Your first name *

Please enter your first name here (parent, guardian, or person completing the form), not the student’s name.

Your last name *

Please enter your last name here (parent, guardian, or person completing the form), not the student’s name.

Your email *

Confirm Email

Note: We may contact you at this address in relation to this form.

Location of interest (primary) *

Location of interest (secondary) *

Please note: locations other than Canning Vale will be considered as expression of interest and will only be a viable option after the minimum number of students is reached.

Student's name *

First

Last

DOB *

Date of Birth (Please email us a copy of the birth certificate)

Class / commencement Year (e.g. "Kindy / 2026") *

We also have a 3-Year old pre-Kindy course available.

Sex *

Male
Female

Name of previous school *

Country of birth / nationality *

Is your child of Aboriginal or Torres Strait Islander origin? *

No
Yes, Aboriginal
Yes, Torres Strait Islander
Yes, both Aboriginal and Torres Strait Islander

Primary language spoken at home

Name *

First

Last

Phone (mobile preferred) *

Address (including postcode) *

Email *

Nationality

Church you currently attend (please include location)

Does your child attend this church with you?

Yes
No
Not anymore

Name

First

Last

Phone (mobile preferred)

Address (including postcode)

Nationality

Church you currently attend (include location)

Does your child attend this church with you?

Yes
No
Not anymore

If separated, who is the custodial parent?

Mother
Father
Not applicable

Name of the volunteer and their relationship to the child

Note: If this volunteer is not a parent, then a Working with Children Check would be required and evidence provided.

Do you have any special interests or skills that you think might be useful at Coram Deo micro-school?

Sibling 1: please provide age and school

Sibling 2: please provide age and school

Sibling 3: please provide age and school

Sibling 4: please provide age and school

Name and contact details of GP and / or medical centre (if applicable)

Are you a member of an ambulance fund? *

Immunisation status *

Fully immunised
Incomplete
Not immunised
Personal objection (or exemption)

Does your child have any special needs? *

If yes, please provide details

Does your child have any allergies? *

If yes, please provide details of the procedure which is to be followed if the condition needs to be attended to at the micro-school

Please send a separate sheet to [email protected] if additional space is needed.

Does your child take any regular medications? *

If yes, please provide details

Emergency contact (primary) *

Relationship with child *

Phone number *

Address

Emergency contact (secondary)

Relationship with child

Phone number

Address

I give permission for my child to participate in walks in the areas surrounding the school from time to time. I understand there will be adequate supervision of my child in areas near water / traffic. *

I give permission for my child to be given first aid from the school first-aid staff *

I give permission for my child to be given paracetamol, if required. *

I understand that if my child is seriously injured or needs medical attention and parents are not able to be contacted my child will be transported by ambulance to hospital and I agree to cover ambulance costs. *

I give permission for my child to participate in all school sporting activities. *

I give permission for my child to be photographed and that these photos be used in school newsletters, magazines, social media and other such publications. If I change my mind about this I will notify the school in writing. *

Note: photos will not be used for promotional purposes without further parental consent.

What is your educational goal for your child ?

Your child's special abilities, hobbies, interests etc.

How much screen time is your child permitted at home?

Please specify hours per day and per week. Please include smartphones, TV and any other devices.

Is there anything else you would like us to know to help your child on their educational journey?

In order to register a student for enrolment, this online Registration Form must be completed and a fee of $50.00 paid. This fee is non-refundable and covers the enrolment administration costs. Payment of the application fee does not guarantee a place in the Micro-school. If your preferred locations are no longer a viable option, this fee will then be refunded to you. *

Ok, I understand.

Payment

The payment of A$ 50 for the enrolment fee can be issue via the credit card form below, or via bank transfer to the following account:

Name: CCE Perth Inc
Bank: CBA
BSB: 066-165
Account number: 1047 8819
Reference: "Surname + enrol fee"

Single Item

Price: $50.00

Stripe Credit Card

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WORKING hours

8 AM - 4 PM

Address

Billabong Community Centre
40 Liffey St, Canning Vale WA 6155

Email

[email protected]

Phone

0422 122 545

CCE Perth Inc. is a registered charity with the Australian Charities and Not-for-profits Commission (ACNC)

ABN 81402815769

Coram Deo is a registered member of the Association of Classical Christian Schools (ACCS).

Stay in touch with Coram Deo

First name

Last name