Email Address:

Country:

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:

State:

Father's Occupation:

Mother's Name:

Mother's Country of Birth:

Mother's Occupation:

Street Address:

Postcode:

Home Phone No:

Business Phone No:

Emergency Phone No:

Mobile Phone No:

Fax 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, PO Box 5233, Moreland West, Vic, 3055

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