Online Enrolment Form

Hillsborough Primary School Enrolment Form

Student Details

Date of Birth *

Gender *

Male Female

Start Date *

Main Language spoken at home *

English Māori Hindi Gujarati Mandarin Urdu Dinhalese Samoan Farsi Other - state in next field what this is.

Eligibility for Enrolment

(Please Attach Supporting Documents)

Proof of Address

New Zealand Citizen

Yes No

Birth Certificate or Copy of Passport *

If you are a New Zealand citizen go straight to ‘Caregiver’ information. If you are not a New Zealand citizen please complete below

New Zealand Resident

Yes No

Copy of Passport

Resident Permit

Student Visa

Date of Entry to NZ

Caregiver Information

Caregiver 1

Salutation *

Mr Mrs Ms Miss

Caregiver 2

Salutation *

Mr Mrs Ms Miss

Other Contact 1

Custody Information

Does your child have any Family or Custody Issues? If no please go to next section.

Yes No

Please provide any custody details that may impact on your child at this school. Attach relevant documentation to this form. Without this documentation the school has limited powers to assist.

Custody Details

I give permission for those working with my child to know about these custody arrangements.

Yes No

Student Enrolling from another School

Early Childhood Education

(To be completed for New Entrant enrolments only.)

Did your child regularly attend an Early Childhood Education facility? e.g Kindy, Kohhanga Reo, Daycare.

What type of Early Childhood education did your child attend *

Kindy Kohanga Reo Playcentre Day Care Home Care Overseas

Not regularly, only occasionally

Not regularly

No my child did not attend ECE

No did not attend ECE

My child was cared for by family

Cared for by family

Learning Information

Does your child need support with Learning, Behaviour, or Communication skills?

Learning Behaviour Communication None of the above.

Medical

Does your child have a serious medical condition/s or severe allergies? If no then go to the next section. *

Yes No N/A

If YES to any medical condition I give permission for those working with my child to know about their medical condition

I give permission

School Staff *

Yes No N/A

Adults supporting your child (e.g. School trips, camp, music lessons) *

Yes No N/A

Does your child have an action plan we can share with staff & supporting adults, including details of treatment and their photo for identification? *

Yes No N/A

Use of Student Work and Images

I give permission for my chil's name, photo and classowrk to be displayed.

In school and class displays, on the school's website including the school's newsletter and on the school learning App - 'Seesaw' *

Yes No

Cyber Safety and Technology Use

I/We give permission for our child to use the school’s technology equipment and access the internet for learning purposes, including the school’s learning app, Seesaw. I/We will support the school should my child engage in unsafe online behaviour that is harmful to others or the school’s reputation. *

Yes No

Privacy

In terms of the Privacy Act 2020, I understand that the information on this form is collected and stored on the Hillsborough Student Management System and Files, to form part of the essential information the school and the Ministry of Education holds on my child to support their learning. The records made from this information may be viewed and edited as required on request at the school. I approve the forwarding of information when my child transfers to another school and agree to the school contacting my child’s previous education setting, in order to support a smooth transition. I agree to my child being given medical treatment in the case of any emergency. In completing this form, I agree to abide by the Hillsborough Primary School Board policies and that the information provided is correct.

For the purposes of this online form putting your name below equates to you signing this document.

Date signed *