Enrolment Application

Please Note: Max File Size is 8MB

*if your file is more than 8MB, you can use the following link to compress the file:

Additional documents:

Dental Form

Vision and Hearing Form

Enrolment Form

Student Details

Date of Birth

Gender Male Female Other

Date first started school

Preferred Start date (for this enrolment)

Ethnicity

Parent/Caregiver Details (1)

Prefix Mr. Mrs. Miss. Ms. Dr. Prof.

Primary Caregiver Yes No

Parent/Caregiver Details (2)

Prefix Mr. Mrs. Miss. Ms. Dr. Prof.

Primary Caregiver Yes No

Emergency Contact (1)

Prefix Mr. Mrs. Miss. Ms. Dr. Prof.

Emergency Contact (2)

Prefix Mr. Mrs. Miss. Ms. Dr. Prof.

Health

Immunisation Yes No

Permission to administer panadol Yes No

Permission to administer antihistamine Yes No

Custody/Access Arrangements

Court Order Issued Yes No

Early Childhood Education

Prior-Participation in Early Childhood Education. Select up to 3 for the last service attended in the 6 months prior to starting school. Kohanga Reo Play Centre Kindergarten or Educations and Care Centre Home based service Playgroup the correspondence School - Te Aho Te Kura Pounamu

Documents

Student's Birth Certificate/Passport. If student is a NZ citizen

Dental Form

Hearing & Vision Form

Additional Fields

B4 School Check Yes No

Please choose your child's preferred learning pathway English Medium French Medium M膩ori Medium

Privacy & Policy

Privacy Statement The information collected will be used by the school for enrollment and forms an essential part of the information held by the school on your child. The records made from this information may be viewed on request at the school. The information collected may be disclosed to appropriate education, health and welfare authorities and for date-gathering purposes by the New Zealand Ministry of Education, in accordance with the principles of the Privacy Act. It will not be disclosed to any other person or agency unless such disclosure is authorised or required by law.

Permissions

I give permission for my child's image to be used where appropriate. Eg. newsletter, school website, classroom displays etc.

I give permission for the school staff to administer general first aid. Staff are not permitted to give any medication without a separate signed consent form.

I give permission for my email to be used for newsletters, notifications, fundraising, initiatives and emergencies such as evacuations and lockdowns etc.

Parent Declaration I agree that the school will take action on my behalf in case of sudden illness or injury, to abide by the school鈥檚 policies, that my child鈥檚 work and image may be used in accord with the school鈥檚 online publishing policy/procedures and that the school may forward my child鈥檚 name and address to a potential intermediate or secondary school. All information that I have provided is true and correct.