Online Enrolment – Greenhithe School

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*
Eldest Child at School

Optional
Current School*
Student Lives with*
- Both Parents
- Mother
- Father
- Guardian
Address*
Street Address Address Line 2 City Suburb Post Code
Ethnicity
Iwi/Hapu
Affiliation
All Ethnic Group/s*
All Languages Spoken at Home*
Parent/caregivers can write, read, speak English*
- 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 Centre Name*
Doctor's Name*
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
Did your child attend an Early Childhood centre?*
- Yes
- No
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 Centre
- 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 Centre*
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*
How many years have they attended Early Childcare?*
Name of Early Childcare Centre?*
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.
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.
Parents/Caregivers proof of NZ Citizenship*
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.
Permission to Publish Form*
Accepted file types: jpg, png, pdf, doc, docx, Max. file size: 8 MB.
Device and Internet Use Form Agreement*
Accepted file types: jpg, png, pdf, doc, docx, Max. file size: 8 MB.
Consent Form for Local Trips in Greenhithe*
Accepted file types: jpg, png, pdf, doc, docx, Max. file size: 8 MB.
School Vision and Hearing Testing Form*
Accepted file types: jpg, png, pdf, doc, docx, Max. file size: 8 MB.
Additional Fields
Name of siblings currently at this school
Please write full name & DOB
Name of siblings who may atttend this school
Please write full name & DOB
Privacy & Policy
Permissions
- Select All
- I give permission for my child to attend all local(within a short walk) Education Outside the Classroom Trips (EOTC). You will be informed if the class is taking a local trip. Individual permission will be sought for overnight trips and day excursions further than the local area.
- I give permission for the school to seek medical attention in the event of an emergency, or being unable to contact me.
Privacy Act 2020
The information on this form is collected and used by the school in accordance with the Privacy Act 2020. It is available to all staff of the school and members of the Board. Please advise the school if you have any concerns about disclosure of any of the information within the school. The school is sometimes obliged by law to give information to government departments (e.g. Ministry of Education and Ministry of Health) but this information will not otherwise be disclosed without your authorisation. You have the right to request access and correction of information held on this form.
Parent Declaration

The address given at the time of application for enrolment must be the student's usual place of residence when the school is open for instruction.
This means the address provided is the student's permanent place of residence.
The Ministry of Education has advised that parents should be warned of possible consequences of deliberately attempting to gain enrolment by knowingly giving a false address or making an in-zone living arrangement that they intend to be only temporary, e.g.
- Renting accommodation in-zone on a short-term basis;
- Arranging temporary board in-zone with a relative or family friend;
- Using the in-zone address of a relative or family friend as an address of convenience, with no intention to live there on an ongoing basis.
If the school has reasonable grounds to believe that a temporary in-zone residence has been used for the purpose of gaining enrolment into the school, then the Board may review the enrolment. This course of action is provided for under section 110A of the Education Act 1989.
I confirm that the address I have provided to the school will be the usual place of residence of the student when the school is open for instruction. I will advise the school of any subsequent change of address.
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
Name
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

Additional Fields

Privacy & Policy

Signature