Father's Name:

Date of Birth:

Day School Level:

Student's Day School:

Omiros Campus:

Omiros Grade Level:

Gender:

Student's Surname:

Father's Country of Birth:

Suburb:

Student's Name:

Father's Occupation:

Mother's Name:

Mother's Country of Birth:

Mother's Occupation:

Contact Address:

Postcode:

Emergency Phone No:

You can enrol online using this form

OR
Phone us (03) 9380 6055- Office hours and 24/7 live messaging service

OR
Download and post our printable enrolment form (PDF)
Post to Omiros Enrolments, Level 1, 233 Sydney Road Brunswick, Victoria 3056

Please take the time to check and complete the details required on the Enrolment Form carefully (telephone numbers, email etc).

Father's email:

Father's mobile phone:

Mother's email:

Mother's mobile phone:

How did you find out about us?