Enrolment Application

Date

Are you the Parent Caregiver

Student Information - Please fill out one form for each child you wish to enrol

Gender Boy Girl

Date of Birth

Start Date Applying For

If your child HAS NOT previously been enrolled in a NZ school, please provide us with the following

Immunisation Documentation

One of the following

Full Birth Certificate

Current Student/visa permit

Child's Heath Status

Does your child have any health of physical problems which may affect learning Yes No

Does your child suffer from any illness or allergy, potentially requiring medication whilst at school on on a school trip that the school should know about Yes No

Does the child have any learning needs Yes No

Is the student a new entrant with an older sibling at school Yes No

Parent/Caregiver/Guardian Information

Is the child living with both biological parents? Yes No

Please provide a written reference from your Pastor or Church Official

Questions for Parents

For a New Entrant

Did the child regularly attend Early Childhood service(s) in the six months prior to starting school? Yes - state number of years and name of service in next 2 questions Not regularly, only occasionally with no on-going schedule. No, did not attend Early Childhood Education.

If seeking to transfer from another New Zealand school then please attach a copy of a recent report

DECLARATION I / We agree to abide by the points of school policy as outlined in the Parent Handbook and will endeavour to uphold the School's Special Character, reminding my/our children when applicable, as described on pages 4 & 5 of the Parent Handbook