Registration Form Registration for New StudentsFill in the Mirrabooka Registration Form belowAttend the Mirrabooka Information Session or attend an interview (parent and child must be present).Sign Parental Consent FormPay the term feesPlease enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Student Information plan Father's son Student's Name *FirstLastCurrent Year Level (2026) *Year 7Year 8Year 9Year 10Year 11Year 12What school are you from? *Date of Birth *Parent's DetailsFather's Name *Father's Email Address *Father's Phone Number *Mother's Name *Mother's Email Address *Mother's Phone Number *Program & InterviewYear 7 - How often does your son plan to commit to coming to Mirrabooka? *Year 7: Every Friday (4:15-6:30pm)OtherYear 7 - Other *Year 8 - How often does your son plan to commit to coming to Mirrabooka? *Year 8: Every Wednesday (4:15-6:30pm)OtherYear 8 - Other *Year 9 - How often does your son plan to commit to coming to Mirrabooka? *Year 9: Every Monday (4:15-6:30pm)OtherYear 9 - Other *Year 10 - How often does your son plan to commit to coming to Mirrabooka? *Year 10: Every Monday (4:15-6:30pm)Year 10: Every Saturday (4:00-8:00pm)Other(Tick all boxes that apply)Year 10 - Other *Year 11 & 12 - How often does your son plan to commit to coming to Mirrabooka? *Year 11 and 12: Every Tuesday (4:15-8:45pm) for the Ascent ProgramYear 11 and 12: Every Thursday (4:15-6:30pm)Year 11 and 12: Every Saturday (4:00-8:00pm)Other(Tick all boxes that apply)Year 11 & 12 - Other *Did you attend the Mirrabooka Information Session? *Yes (if yes, you are not required to schedule an interview for registration)No (if no, you are required to schedule an interview for registration)Have you scheduled an interview time? *Yes (Follow this link below to book an interview) Please contact Theodore Wong at t.wong@eda.edu.au if you have any issues.Booking an Interview - TheoBooking an Interview - JackBooking an Interview - TimSubmit
