Online Enrolment – Greytown School

Please note maximum Total file size allowed on this form is 8 MB.

Student Details
Student's Name*
First Last
Student's Preferred Name
First Last
Date of Birth*
DD slash MM slash YYYY
Gender*
- Male
- Female
- Other
If "Other", please specify*
Current Year Level

Optional
Eldest Child at School

Optional
Current School

Optional
Date started schooling in NZ
DD slash MM slash YYYY
Address*
Street Address Address Line 2 City Suburb Post Code
Ethnicity
Iwi/Hapu
Affiliation
Ethnic Group/s*
Language Spoken at Home*
Does your child require English as a Second Language Assistance?
- Yes
- No
Country of Birth*
Country
Nationality*
Country
Parent/Caregiver Details (1)
Name*
Prefix First Last
Primary Caregiver*
- Yes
- No
Relationship to Student*
Address*
Same as Student Home Address

Street Address Address Line 2 City Suburb Post Code
Occupation*
Email*
Home Phone
Work Phone
Mobile Phone*
Parent/Caregiver Details (2)
Name
Prefix First Last
Primary Caregiver
- Yes
- No
Relationship to Student
Address
Same as Student Home Address

Street Address Address Line 2 City Suburb Post Code
Occupation
Email
Home Phone
Work Phone
Mobile Phone
Emergency Contact (1)
Name*
Prefix First Last
Relationship to Student*
Address*
Street Address Address Line 2 City Suburb Post Code Country
Home Phone
Work Phone
Mobile Phone*
Emergency Contact (2)
Name*
Prefix First Last
Relationship to Student*
Address*
Street Address Address Line 2 City Suburb Post Code Country
Home Phone
Work Phone
Mobile Phone*
Health
Allergies
Medication
Hearing
Vision
Speech
Other Health Issues
Special Learning and Behavioural Needs
Immunisation*
- Yes
- No
Medical Center Name*
Doctor's Name*
Phone*
I consent to my child’s vision & hearing being tested.*
- Yes
- No
I give permission for the school to administer Panadol to my child without having to contact me first.*
- Yes
- No
Dental Clinic Name
Dental Clinic Phone
Custody/Access Arrangements
Court Order Issued*
- Yes
- No
Court Order Documents
Accepted file types: jpg, png, pdf, doc, docx, Max. file size: 8 MB.
Access Arrangement
Early Childhood Education
Prior-Participation in Early Childhood Education
Please select (up to 3 services) for the last Early Childhood Education service(s) attended in the six months prior to starting school
- Kohanga Reo
- Play Center
- Kindergarten or Educations and Care Centre
- Home based service
- Playgroup
- The Correspondence School - Te Aho Te Kura Pounamu
Hours per Week at Kohanga Reo*
Hours per Week at Play Center*
Hours per Week at Kindergarten or Educations and Care Centre*
Hours per Week at Home based service*
Hours per Week at Playgroup*
Hours per Week at The Correspondence School - Te Aho Te Kura Pounamu*
Documents
Proof of in zone address*
Council rates, water care, electricity bill etc.
Accepted file types: jpg, png, pdf, doc, docx, Max. file size: 8 MB.
Student's Birth Certificate/Passport*
If student is a New Zealand citizen
Accepted file types: jpg, png, pdf, doc, docx, Max. file size: 8 MB.
Student's Passport*
If student is not a New Zealand citizen.
Accepted file types: jpg, png, pdf, doc, docx, Max. file size: 8 MB.
Student's proof of Citizenship /Residency/Permit*
If student is not born in NZ.
Accepted file types: jpg, png, pdf, doc, docx, Max. file size: 8 MB.
Parent's Passport*
If student is not a New Zealand citizen.
Accepted file types: jpg, png, pdf, doc, docx, Max. file size: 8 MB.
Parent's Visa*
If student is not a New Zealand citizen.
Accepted file types: jpg, png, pdf, doc, docx, Max. file size: 8 MB.
Immunisation Documents*
Accepted file types: jpg, png, pdf, doc, docx, Max. file size: 8 MB.
Privacy & Policy
1.Consent: I give permission for the school to publish photos of my child along with their name, age and class if appropriate:
- In the school newsletter
- In school website photos
- In school Facebook photos
- Only in a group without identifying them by name
2.Consent:
- I have read the Internet Safety Procedures and I am aware of the school’s initiatives to maintain a cybersafe learning environment including my child’s responsibilities.
- I give my child permission to have supervised access to the internet while at school.
- My year 7/8 child and I have signed the Kauri laptop agreement.
Privacy Statement
The information collected will be used by the school for enrollment and forms an essential part of the information held by the school on your child. The records made from this information may be viewed on request at the school. The information collected may be disclosed to appropriate education, health and welfare authorities and for data-gathering purposes by the New Zealand Ministry of Education, in accordance with the principles of the Privacy Act. It will not be disclosed to any other person or agency unless such disclosure is authorised or required by law.
Attendance*
- I understand that the school requires punctual and regular attendance to meet the obligations to the Ministry of Education and that I must explain any absences by communication with school office each day that my child is absent by 9.30am. You can report absences through the school website https://www.greytown.school.nz/ , leave a message on the phone on the absence line or download the Greytown School App.
Parent approvals*
- I consent in the event of illness, accident or emergency when the school is unable to contact the caregivers or other emergency contacts I have listed on this form to allow the school to take the necessary steps to ensure that appropriate treatment is provided for my child.
Declaration*
- I certify that the information I have provided in this enrolment form is true. I agree to be bound by all school policies. The school agrees to keep the information contained in this document private in accordance with the principles of the Privacy Act, except where legally required, or expressly allowed.
Signature
By signing this below, I confirm that the information given in this form is true, complete and accurate.
Full Name*
Date*
DD slash MM slash YYYY
CAPTCHA
Phone
This field is for validation purposes and should be left unchanged.

Student Details

Ethnicity

Parent/Caregiver Details (1)

Parent/Caregiver Details (2)

Emergency Contact (1)

Emergency Contact (2)

Health

Custody/Access Arrangements

Early Childhood Education

Documents

Privacy & Policy

Signature