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Please complete the online form below and our Registrar will be in touch to answer your queries, or email us at registrar@girton.vic.edu.au

Parent/ Carer 1 Title * —Please choose an option—DrMissMrMrsMs	Parent/ Carer Given Name *	Parent/ Carer Family Name *
Email Address *
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Spouse's Title —Please choose an option—DrMissMrMrsMs	Spouse's Given Name	Spouse's Family Name
Spouse Postal Address (if different to above)

Students' Title * —Please choose an option—MissMr	Students' Given Name *	Students' Family Name *
Year Level *—Please choose an option—PrepYear 1Year 2Year 3Year 4Year 5Year 6Year 7Year 8Year 9Year 10Year 11Year 12	Entry Year *—Please choose an option—202220232024202520262027202820292030	Students' Date of Birth *

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