Student's Name 学员姓名 *

First Name

Last Name

Student's Gender 学员性别

Male 男

Female 女

Guardian's Name 家长姓名

Complete if applicable

First Name

Last Name

Nationality 国籍 *

Australian 澳大利亚

Chinese 中国

Other 其他

Parental Consent: I acknowledge that the information provided including name of student, the year level of student, the mainstream school the student attends, name of parent/guardian, whether the student is an Australian citizen or permanent resident, student attendance information may be forwarded to the Department of Education Queensland for audit and grant administration purposes. 是否同意以上信息包括学生姓名、年级、就读学校、家长/监护人姓 名、是否为澳大利亚公民或永久居民，出勤资料可转交昆士兰教育部作助学 金管理及审计之用。 *

Yes

No

I give permission for my child to be photographed without name and their picture used for advertising products and services provided by J. P. Irwin Tutoring. 是否同意孩子的照片但不留名做为宣传使用？ *

Yes

No

I give permission for my child's writing without name to be used for advertising products and services provided by J. P. Irwin Tutoring. 是否同意孩子的写作材料但不留名做为宣传使用？

Yes

No