Enrolment Form

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In accordance with the provisions of the Privacy Act (1993), this school requires information for educational purposes from families with pupils enrolled at the school; for the welfare, safety and health needs of the child; to ensure the functioning of the school and its related support and health organisations. The school will take all reasonable steps to protect personal information. Caregivers can request to view, and have corrected, information held by the school relating to their family. Caregivers have a responsibility to keep the school informed of any changes to the information held, particularly contact information and addresses. 

THE CHILD’S BIRTH CERTIFICATE/PASSPORT AND VACCINATION CERTIFICATE MUST BE PRESENTED BEFORE A CHILD CAN BE ENROLLED. (WE CAN PHOTOCOPY THESE FOR YOU IF YOU ARE UNABLE TO SCAN AND UPLOAD THEM)

 

Child being enrolled

It is important that the child’s full legal name (surname and first names) are recorded on the enrolment form. These are used as verification for eligibility to enroll as a domestic student. 

Other Family Members
Caregiver Details
Mother
Father
Custody and Living Arrangements
Other Custodians

Only fill in this section if the child lives mostly with someone other than a parent.

Other Custodian 1
Other Custodian 2
Emergency Information
Emergency Contact 1
Emergency Contact 2
Emergency Contact 3
Emergency Contact 4
Emergency Evacuation

As well as the people above, who else has your permission to collect your child if we have to evacuate the school? Please write the names and phone contacts of these people.

Evacuation Person 1
Evacuation Person 2
Health Information
Child's Doctor
Concerns and conditions

Do you have any concerns with the following things? If you answer 'yes' to any of these, please give details below.

Allergies
Asthma
Additional Options

This is development of spoken te reo Maori. Reading and writing is in English.

Agreements

Medical attention: I understand that the school will obtain the necessary assistance, at my expense, in the event of an accident requiring immediate professional attention. In all situations, the school will attempt to contact caregivers first, however this will not delay seeking urgent medical attention.

Local trips: School staff can take my child out of the school grounds for trips related to the school programme. I understand I will be advised of trips involving transport out of Stokes Valley and/or payment of money.

Fundraising: I understand the school fundraising group may contact me, usually through the school newsletter, seeking support for fundraising activities.

Internet: I have returned the separate ‘Koraunui School ICT Acceptable Use Policy’, which covers cyber safety aspects of the education my child will increasingly receive at Koraunui School.

Communication: I understand my obligation to keep myself informed of school activities, by reading the weekly newsletter, received in paper form delivered by my child, and/or by e-mail.

Record of schools attended: I understand that, within the Education Act, my child’s schooling history will be tracked through the Ministry of Education secure ENROL register, which can be accessed by all schools my child attends.

Attendance: I understand that my child’s education is of high priority and will ensure his/her regular attendance. I also understand the importance of my child arriving at school on time (by 8.30am) 

Early childhood information

Early childhood information required by the Ministry of Education. In the six months before starting school…… 

  1. If the child attended more than one service in the same time period, please enter hours per week for up to 3.
  2. If the child attended one service, but changed to a different service, please only enter hours for the most recent.
  3. If the attendance hours varied, or you are uncertain, please enter the average weekly hours. 

Did the child regularly attend Early Childhood Education?

(‘Regularly attend’ means the child was booked in to a service for sessions each week/fortnight, and generally went to those sessions unless sick, or on holiday, or had a family occasion etc.)