Enquiry Form
To receive an enrolment information package by mail, please complete the following enquiry form.
Title
*
Family Name
*
Given Name
*
Street Address
*
Suburb
*
State
*
Postcode
*
Country
*
Telephone
*
Facsimile
Email
*
Child's Name
*
Child's Date of Birth
*
Gender
*
Male
Female
Entry Year Level
*
3 Year Old
4 Year Old
Prep
1
2
3
4
5
6
7
8
9
10
11
12
Proposed year of entry
*
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
Enquiry Type
*
Day School
Boarding
Application Type (citizenship)
*
Australian
Non-Australian
Application Type (residency)
*
Permanent
Non-Permanent
Other
How did you find the Ballarat Clarendon College website address?
*
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