Student Enrolment Form
Name
Fee
Code
Course Name
The College also has a Refund Policy
Address
Town/City
Postcode
Date of Birth
Telephone (W)
Telephone (H)
Mobile
Fax
Email Address
Have you enrolled before?
Course Details
I understand the conditions of enrolment
Payment Details: Please make cheques and money orders payable to Kiama Community College
I enclose
Note: Enrolment not accepted until receipt of full course fee
for
or debit my
Card Expiry Date
Card Number
Card Holder's Name
Kiama Community College is funded by NSW Board of Adult and Community Education

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