E Puta Ki Taiātea!

Strive to Achieve Your Full Potential

E Puta Ki Taiātea!

Strive to Achieve Your Full Potential

E Puta Ki Taiātea!

Strive to Achieve Your Full Potential

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, below please make sure that the obligatory fields marked with * are filled in correctly.

Enrolment Form

Student Details - Step 1 of 11

Student Details

Student's legal name *

First

Middle

Last

Student's preferred name

Date of birth *//

Gender *

Male
Female

Address *

Address Line 1

City

State / Province / Region

Postal Code

Student's mobile number *

Current school attending *

Current year level *

Ethnicity *

Iwi (3 maximum) *

Is enrolment for this year? *

Is this enrolment for next year? *

Any siblings at this kura? *

If yes, please add the name of sibling(s) below

Name of siblings

Medical Details

Does the student have a doctor? *

Doctor's name *

Doctor's address *

Address Line 1

City

State / Province / Region

Doctor's phone number *

Does the student have a dentist? *

Dentist's name *

Dentist's phone number *

Does student suffer from any of the following medical conditions?

ADHD *

If yes, state medication for ADHD

Allergies *

If yes, state medication for Allergies

Asthma *

If yes, state medication for Asthma

Depression *

If yes, state medication for Depression

Diabetic *

If yes, state medication for Diabetic

Gluten *

If yes, state medication for Gluten

Hearing *

If yes, state medication for Hearing

Heart Conditions *

If yes, state medication

Lactose *

If yes, state medication

Learning disorders *

If yes, state medication

Peanuts *

If yes, state medication

Sleep disorder *

If yes, state medication

Visual impaired *

If yes, state medication

Other *

If yes, state condition and medication

Does this student have reactions to any of the following?

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.

Anaesthetics *

If yes, state what is required to be done for Anaesthetics

Aspirin *

If yes, state what is required to be done for Aspirin

Bee/wasp stings *

If yes, state what is required to be done for Aspirin

Codeine *

If yes, state what is required to be done for Codeine

Food allergy *

If yes, state food type

Penicillin *

If yes, state what is required to be done

Sulfa *

If yes, state what is required to be done

Sunlight *

If yes, state what is required to be done

Other *

If yes, state condition and what is required to be done

Is this student immunised? *

If yes, we require an immunisation report.

Upload immunisation report file *

Legal Caregiver Details

(Female) Who student normally resides with

Is there a female Legal Caregiver? *

Who student normally resides with

Title *

Mrs
Miss
Ms

Name *

First

Last

Status *

Solo parent
Single
Married
De-facto
Other (please state)

If you choose other please state here *

Relationship to student *

Mother
Step-mother
Legal guardian
Other (please state)

Who student normally resides with

If you choose other please state here *

Address (if different to student) *

Address Line 1

City

State / Province / Region

Postal Code

Country

Phone (landline)

Phone(mobile) *

Email address *

Employer's name

Employer's address *

Phone (work)

Occupation *

Legal Caregiver Details

(Male) Who student normally resides with

Is there a male Legal Caregiver? *

Who student normally resides with

Name *

First

Last

Status *

Solo parent
Single
Married
De-facto
Other (please state)

Who student normally resides with

If you choose other please state here *

Relationship to student *

Father
Step-father
Legal guardian
Other (please state)

Who student normally resides with

If you choose other please state here *

Address (if different to student) *

Address Line 1

City

State / Province / Region

Postal Code

Country

Phone (landline)

Phone (mobile)

Email address *

Employer's name

Employer's address *

Phone (work)

Occupation *

Shared Care Details

If shared care exists, please complete the following details for the other parent & their partner below

Is the student in shared care? *

Is there a female other partner/their partner under shared care? *

Is there a male other partner/their partner under shared care? *

Title *

Mrs
Miss
Ms
Mr

Name *

First

Last

Status *

Solo parent
Single
Married
De-facto
Other (please state)

If you choose other please state *

Relationship to student *

Mother
Father
Step-mother
Step-father
Legal guardian
Other (please state)

If you choose other please state *

Address

Address Line 1

City

State / Province / Region

Postal Code

Country

Phone (landline)

Phone (mobile)

Email Address *

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
Not Applicable

Attach further information as required

File Upload *

Court order issued comment, if necessary

Caregivers Details

Complete if student is living with a caregiver while at Ngā Taiātea Wharekura

Is student living with a caregiver while at Ngā Taiātea Wharekura? *

Name *

First

Last

Address *

Address Line 1

City

State / Province / Region

Postal Code

Country

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 Ngā Taiātea Wharekura

Name *

First

Last

Phone (landline) *

Phone (mobile) *

Phone (work) *

Relationship to student *

Current address *

Address Line 1

City

State / Province / Region

Postal Code

Country

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 *

Yes, I consent to my child's vision and hearing being tested
No, I do not consent 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. *

Yes, 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.
No, I do not 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. *

Yes, 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.
No, I do not 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 Ngā Taiātea Wharekura for publishing purposes. *

Yes, I agree for my child's work and/or photo to be used by Nga Taiatea Wharekura for publishing purposes.
No, I do not 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. *

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 *

Additional Documents

Upload up to 3 additional documents

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 with 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.

Phone

Te Urutanga Mai: Enrolment

Enrolment Form

Student Details

Medical Details

Does student suffer from any of the following medical conditions?

Does this student have reactions to any of the following?

Legal Caregiver Details

Legal Caregiver Details

Shared Care Details

Communication

Custody/Access Arrangements

Caregivers Details

Emergency Contact

Please indicate approximate sizing of student

Parent Approval required

Upload Documents

Privacy Statement

Youth Service

Accessing or changing your information

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