Enrolment

Child's official surname or family name *

Child's official given name *

Copy of official identity verification document collected by staff

Date Of Birth

Child's ethic origin/s

Iwi your child belongs to

Language/s spoken at home

Child's primary residential address *

Single Line Text

Privacy Statement

Parents/Guardians Name *

First

Last

Email *

Address

Home Phone

Work Phone

Mobile Number

Relationship to Child

Enrolment Details - (Tick days you were wanting to enrol your child)

Specify Hours Each Day (can be changed at anytime)

Monday

Single Line Text

Tuesday

Single Line Text

Wednesday

Single Line Text

Thursday

Single Line Text

Friday

Name