Join Safety Bay Senior High School's Pathfinder Academic Excellence Program

1

Student Name* This field is required.

First Name

Last Name

2

Date of Birth* This field is required.

Date

3

What is your child's gender? * This field is required.

4

Parent Name* This field is required.

First Name

Last Name

5

Email* This field is required.

example@example.com

6

Address* This field is required.

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

7

Mobile Number* This field is required.

8

Home Phone Number

Area Code

Phone Number

9

Primary School* This field is required.

10

Does your child have any important medical conditions we need to know about?* This field is required.Particularly conditions that could affect them during the trials. Please list them below.

11

Do you have any siblings attending, or who have attended Safety Bay Senior High School?* This field is required.

YESNO

12

Please provide a copy of your child's most recent School Report* This field is required.If you are unable to upload a recent school report please call Administration on 9527 0200.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

13

Do you give permission for your child to be photographed and recorded during the trials?* This field is required.These photos and videos may be used for promotional purposes.

YESNO

14

Has your child participated in a Department of Education Primary Extension and Challenge (PEAC) Program?* This field is required.

YESNO

15

If yes, in what Year (s) was your child involved in PEAC?

16

Has your child participated in any other academic or extension programs or activities?Please give details below.

17

What would you consider to be your child's personal and academic strengths?

18

How did you hear about the Pathfinder Academic Excellence Program?* This field is required.Select all that apply

Facebook

School Sign

Connect

Local Newspaper

Primary School notice/newsletter

Poster

Promotional brochure

19

Save your progress

Save your progress

Your form submission has been saved as a draft.

Save your progress

Your form submission has been saved as a draft.