Te Urutanga Mai (Enrolment)

A copy of the following documents MUST accompany the enrolment form:

NZ Birth certificate or NZ Passport
Last school report
Immunisation Certificate

Before submitting the form, please make sure that the obligatory fields marked with * are filled in correctly

Student details


*Student's Legal Surname:
*Student's Legal First name:
Student's Legal Middle name:
Student's Preferred name:
*Student's date of birth:	(dd/mm/yyyy)
*Gender:	Male Female
*Number & Street:
*Suburb:
*Town/City:
*Postal code:
*Student mobile number:
*Current school attending:
*Current year level:
*Ethnicity:
*Iwi(3 maximum):
*Is enrolment for this year:	Yes No
*Is this enrolment for next year:	Yes No
*Any siblings at this kura:	Yes No
If yes,name of sibling(s):

Medical details


*Does the student have a doctor:	Yes No
Doctor's name:
Doctor's address:
Doctor's phone number:
*Does the student have a dentist:	Yes No
Dentist's name:
Dentist's phone number:

*Does student suffer from any of the following medical conditions?

*Does this student have reactions to any of the following?

Legal caregiver details (female) - who student normally resides with


Please choose title:	Mrs Miss Ms
Surname:
First name:
Status:	Solo parent Single Married De-facto Other - Please state:
Relationship to student:	Mother Step-mother Legal guardian Other - Please state:
Number & Street:(if different to student)
Suburb:(if different to student)
Town/City:(if different to student)
Postal code:(if different to student)
Phone(landline):
Phone(mobile):
Email address:
Employer's name:
Employer's address:
Phone(work):
Occupation:

Legal caregiver details (male) - who student normally resides with


Surname:
First name:
Status:	Solo parent Single Married De-facto Other - Please state:
Relationship to student:	Father Step-father Legal guardian Other - Please state:
Number & Street:(if different to student)
Suburb:(if different to student)
Town/City:(if different to student)
Postal code:(if different to student)
Phone(landline):
Phone(mobile):
Email address:
Employer's name:
Employer's address:
Phone(work):
Occupation:

If shared care exists, please complete the following details (female) for the other parent & their partner:


Please choose title:	Mrs Miss Ms
Surname:
First name:
Status:	Solo parent Single Married De-facto Other-state:
Relationship to student:	Mother Step-mother Legal guardian Other-state:
Number & Street:
Suburb:
Town/City:
Postal code:
Phone(landline):
Phone(mobile):
Email address:
Employer's name:
Employer's address:
Phone(work):
Occupation:

Partner:(male)


Surname:
First name:
Status:	Solo parent Single Married De-facto Other-state:
Relationship to student:	Father Step-father Legal guardian Other-state:
Number & Street:
Suburb:
Town/City:
Postal code:
Phone(landline):
Phone(mobile):
Email address:
Employer's name:
Employer's address:
Phone(work):
Occupation:

Communication

*Where mother and father have different addresses please tick who the primary parent or guardian responsible for daily care is:	Mother Father Other Caregiver Not Applicable
*Parents whose addresses are different: Do you require a separate school report?:	Yes No Not Applicable

Custody/Access Arrangements


Court order issued:	Yes No N/A (attach further information as required)
Comment if necessary:

Caregivers details (complete if student is living with a caregiver while at Nga Taiatea Wharekura)


Surname:
First name:
Number & Street:
Suburb:
Town/City:
Postal code:
Phone(landline):
Phone(mobile):
Email address:
Employer's name:
Employer's address:
Phone(work):
Occupation:

Emergency Contact (An emergency contact must be contactable and made aware that they have been selected as a contact for your child, in case of any emergency that may occur while at Nga Taiatea Wharekura)


Surname:
First name:
Phone(landline):
Phone(mobile):
Phone(work):
Relationship to student:
Current address:
Town/City:

Please indicate approximate sizing of student


Top size:
Skirt or Short size:
Jersey size:

Parent Approval required

I consent to my child's vision and hearing being tested.

I agree for the school nurse to give my child paracetamol/panadol if he or she considers the use of it appropriate for the situation.

I give permission for the school nurse to assist my child by providing a safe and effective health care service, and to assist them in maxmising access to health care opportunities. Parents will be notified when necessary and are welcome to contact the nurse with any queries.

I agree for my child's work and/or photo to be used by Nga Taiatea Wharekura for publishing purposes.

Students from time to time will be involved in Education Outside the Classroom for a period of the school day within the Hamilton districtl I consent to my son's/daughter's involvement.

Upload Documents

Please upload a copy of the following documents with this form:

NZ Birth certificate of NZ Passport
Last school report
Immunisation Certificate

Additional Documents

Document 1
Document 2
Document 3

Privacy Statement

The school collects the information on these forms to:

enrol your child at school
assess the educational needs of your child
ensure the school gets the correct resources from the Ministry of Education for you child

The school collects and uses your child's information in accordance with the Privacy Act. The school sends some of your child's information to the Ministry of Education and other education and health agencies. The school will not provide your child's information to other people or organisations withor your authorisation, except in accordance with the Privacy Act.

Youth Service

The Ministry of Education shares your address and phone number information with the Ministry of Social Development (MSD) as part of the Youth Service initiative. Youth Service identifies young people who may have difficulty finding future employment, training or further education. Youth Service uses the contact information to find these young people and support them into education or training when they leave school.

Accessing or changing your information

Contact the school if you want to view or change your child's information.

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Contact Us

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Quick Links

134 Rotokauri Road
RD9
Hamilton

Telephone: 07 850 6358
Email: info@taiatea.school.nz

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ADHD:	Yes No
If yes, state medication:
Allergies:	Yes No
If yes, state to what:
Asthma:	Yes No
If yes, state medication:
Depression:	Yes No
If yes, state medication:
Diabetic:	Yes No
If yes, state medication:
Gluten:	Yes No
If yes, state medication:
Hearing:	Yes No
If yes, state medication:
Heart Conditions:	Yes No
If yes, state medication:
Lactose:	Yes No
If yes, state medication:
Learning disorders:	Yes No
If yes, state medication:
Peanuts:	Yes No
If yes, state medication:
Sleep disorder:	Yes No
If yes, state medication:
Visual impaired:	Yes No
If yes, state medication:
Other:	Yes No
If yes, state condition:
If yes, state medication:


Anaesthetics:	Yes No
If yes, state what is required to be done:
Aspirin:	Yes No
If yes, state what is required to be done:
Bee/wasp stings:	Yes No
If yes, state what is required to be done:
Codeine:	Yes No
If yes, state what is required to be done:
Food allergy:	Yes No
If yes, state food type:
Penicillin:	Yes No
If yes, state what is required to be done:
Sulfa:	Yes No
If yes, state what is required to be done:
Sunlight:	Yes No
If yes, state what is required to be done:
Other:	Yes No
If yes, state what:
*Is this student immunised?	Yes No If yes,we require an immunisation report.
If required, please send labelled medication to the School Nurse for reqular use or for emergencies such as antihistamines for bee stings. Please note our School Nurse is not-full-time at our school.