In Zone Enrolments

Student Details

Optional
Optional
Optional

Street Address
Address Line 2
Post Code
Suburb
City
Ethnicity
Parent/Caregiver Details (1)



Street Address
Address Line 2
Post Code
Suburb
City
Country
Parent/Caregiver Details (2)



Street Address
Address Line 2
Post Code
Suburb
City
Country
Emergency Contact (1)


Street Address
Address Line 2
Post Code
Suburb
City
Country
Emergency Contact (2)


Street Address
Address Line 2
Post Code
Suburb
City
Country
Health

Custody/Access Arrangements

Early Childhood Education

Please select (up to 3 services) for the last Early Childhood Education service(s) attended in the six months prior to starting school
Documents

Council rates, water care, electricity bill etc.

If student is a New Zealand citizen
Privacy & Policy

The information collected will be used by the school for enrolment and forms an essential part of the information help by the school on your child. The records made from this information may be viewed on requiest at the school. The information collectd may be disclosed to appropriate education, health and welfare authorities and for data-gathering purposed by the New Zealand Ministry of Education, in accorfance 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.

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

Signature

By signing this below, I confirm that the information given in this form is true, complete and accurate.