Enrolment Form

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Enrolment Form

Our school mission is "Know me before you teach me". It's important to us that we get to know each child and their whānau.

You can complete an online enrolment below, or you can come into the office to fill out a form in person.

To discuss your child's enrolment further, please arrange a meeting with one of our Senior Leadership Team:

The Junior School (Years 0-3) is led by Deputy Principal Megan Crawford.

The Senior School (Years 4-6) is led by Deputy Principal Sharron Adams Davis.

The Acting Tumuaki/Principal is Dorothea Collier.

We look forward to welcoming you and your tamariki to our school whānau.

Enrolment Application

All field with * are required.

Zoning *In zoneOut of zone

Student Details

Legal Last Name *

Preferred Last Name (if different)

Legal First Name *

Preferred First Name (if different)

Legal Middle Name *

Date of Birth *

Gender *

Current School Year Level *

Main Language Spoken at home *

Child’s Ethnicity *

Child’s Iwi Affiliations

Main Caregiver 1

All invoices will be sent to caregiver 1 unless specified

Full time Care *Shared Care *

Title *

Surname *

First Name *

Relationship to student *

Address *

Postcode *

Email *

Home Phone *

Mobile

Work

Occupation *

Employer *

Main Caregiver 2

Full time Care *Shared Care *Send InvoiceSend copy of report

Title *

Surname *

First Name *

Relationship to student *

Address *

Postcode *

Email *

Home Phone *

Mobile

Work

Occupation *

Employer *

School Whānau

Eldest Child at SchoolName/names of sibling/siblings currently enrolled at Te Ākau ki Pāpāmoa (if applicable)House of enrolled siblingsWhai (Blue)Mako (Purple) Mangopare (Red)Tohora (Green)

Shared Care Arrangements

Yes *No *

Please email any custody/shared care arrangements documentation affecting the student.

Court Details

Yes *No *

Please email any court orders affecting the student.

Other Caregiver

Step ParentNon-custodial ParentOther

Title

Surname

First Name

Relationship to student

Address

Postcode

Home Phone

Mobile

Work

Occupation

Employer

Other Caregiver

Step ParentNon-custodial ParentOther

Title

Surname

First Name

Relationship to student

Address

Postcode

Home Phone

Mobile

Work

Occupation

Employer

Emergency Contact 1

Living in Tauranga/Pāpāmoa (other than caregivers listed above)

Name *

Relationship to student *

Home Phone *

Mobile

Work

Emergency Contact 2

Living in Tauranga/Pāpāmoa (other than caregivers listed above)

Name *

Relationship to student *

Home Phone *

Mobile

Work

Hauora

Immunisations Completed *YesNoPlease attached any immunisation certificates below

Family Doctor *

Practise *

Phone Number *Health Conditions / Allergies / Medication / Vision / Hearing (Please email all relevant medical reports) *I give permission for my child to have Pamol if required *YesNo

New Entrant Enrolments

To be completed for students who ARE new entrant

Did your child regularly attend an Early Childhood Education facility such as kindy, daycare, kõhanga reo?YesOccasionallyNoIf yes, for how many years?

Early Childhood Education Facility Attended

Kōhanga Reo

Hours per week

Playcentre

Hours per week

Kindergarten or Education and Care Centre:

Hours per week

Home Based Service

Hours per week

Playgroup

Hours per week

The Correspondence School

Hours per week

Attended ECE Outside of New Zealand

Hours per week

Previous Education

To be completed for students who ARE NOT new entrant

Previous Primary School

Date left

Year level

Learning Support

Please indicate any areas the learning support team need to be alerted ofAutistic Spectrum Disorder (ASD)ADHDAuditory Processing DisorderDevelopmental Delay ORS FundedHearingVisionHealth RegisterAdditional Comments

Additional Information

Hobbies/Strengths

Eligibility for Enrolment

To be completed for students who are NOT born in New Zealand

Child’s Country of Birth

Date of Entry to NZ

New Zealand CitizenYesNo

New Zealand Student PermitYesNo

New Zealand ResidentYesNo

Residency Permit Number

Birth Certificate Number

Passport Number

Te Ākau ki Pāpāmoa Parent Permissions

School Policies and Procedures *YesNo

In terms of the Privacy Act, I understand that this information on this form is collected to form part of the essential information the school holds on a child. The records made from this information may be viewed on request at the school. I approve the forwarding of the information when my child transfers to another school. I further approve the forwarding of my child's name and address on request to a potential intermediate or secondary school.I understand that the school will take action on my behalf in case of sudden illness or injury, and I agree to abideby school policies.

Internet Use Agreement *YesNo

Te Ākau ki Pāpāmoa School has access to quality ICT equipment and resources. This incorporates numerous personal computers, phones, faxes, copiers, digital cameras and associated network facilities.
The use of the school's ICT equipment is a privilege and as such the equipment must be treated with respect.
I agree that the following guidelines will be observed by my child:
* My child will seek permission from the teacher before using IT equipment and the Internet.
* My child will access the Internet for learning only and not download any software.
* My child will keep food and drink away from all ICT equipment and use the equipment with care.
* My child will seek help from a teacher if there is a problem with the ICT equipment or inappropriate or offensive materials.
* My child will not bring any data collection devices to school (CDs, Discs, and USB flash drives).

Use of Work and Images *YesNo

As guardian of this child, I authorise Te Akau ki Papamoa School to publish my child's work and/or photo in the school newsletter, on the school website, school social media, or other educational websites deemed appropriate by the school. I understand that my child's first name and year or room number only would be published on these web sites to prevent easy identification.

iPad Indemnity

To be completed to allow access to school owned iPads

To ensure the care of iPads according to our school iPad licences and digital safety practises are adhered to when using the iPad I agree to the following:

My child understands that their iPad is for learning purposes
I will support any decisions made by the school in relation to the use of the iPad for my child.
I understand that if the iPad is damaged, lost or stolen that I am liable for its replacement.

I have read and understand the iPad indemnity above and I agree with all of the terms: *YesNo

Internet Access

We have daily access to the internet from home *YesNo

Supporting Documents

Proof of address 1Proof of address 2Birth Certificate

Declaration

Name of Legal Guardian (This will act as a form of electronic signature) *

Date *

Thank you! Your submission has been received!

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