Student Details

Ethnicity

Māori Iwi/Hapu

Family Details

Please view our Enrolment Zone map here.

Parent/Caregiver 1

Parent/Caregiver 2

Custody/Access Arrangements

Additional Family Members

Please enter the details of members of your family likely to be attending this school in the future.

Contact/Caregiver Details

Learning and Behaviour

This section refers to your child’s learning and behaviour. Please tick as many as appropriate.

Medical and Emergency

Does your child have any of the following? Please select as many as are appropriate.

Emergency Contact 1

Emergency Contact 2

Emergency Contact 3

Lunches

Early Childhood

Please complete this section if your child is new to starting school

Was an Early Childhood Education Provider regularly attended? Please complete the option that best applies.

General Permissions

Please read the following carefully and indicate permission as appropriate.

Please discuss any you are unsure of at your induction meeting with the principal

I give permission for my child to:

Access to and use of ICT at school and safe use at home

Use of and publishing of images

I give permission for:

Education outside of the classroom

Children will occasionally be taken outside of the school gates during school time. This could be to carry out a statistical investigation, for cross country or to experience the local environment.

Privacy

The information collected will be used by the school for enrolment and forms an essential part of your child’s records. You may request to see any information held by the school regarding your child. The information may be disclosed to appropriate education, health and welfare authorities and for data purposes by the MoE in accordance with the principles of the Privacy Act. It will not be disclosed to any other person or agency unless prior consent is given or required by law.

Declaration

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