Welcome to enrolling at Wadestown School

This is a provisional enrolment form based on the following information being provided to us:

• A copy of the eligibility document for your child.  This can be either:
  •      NZ birth certificate or NZ passport (if NZ citizen)
  •      Australian passport (if Australian citizen) or
  •      NZ residency permit or NZ student visa/permit and Parental work permit  (if the child is not a NZ citizen).
• Proof of your address (if in zone e.g., utilities bill, rental/sales agreement).
• Immunisation certificate
• A copy of any Court Order Documents (if applicable)

Wadestown School Enrolment Zone

Wadestown School has an enrolment zone. For more information click here.

Wadestown Enrolment Form

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Student Legal Name *

First

Last

Student Preferred Names if other than Legal Name:

First

Last

Gender (as per ENROL requirements) *

• Female
• Male

Student Date of Birth:* *

Student Current Year Level *Preschool/KindergartenYear 1Year 2Year 3Year 4Year 5Year 6Year 7Year 8Not applicable

Student Grade Level (for overseas students) *Grade 1Grade 2Grade 3Grade 4Grade 5Grade 6Grade 7Grade 8Not applicable

Student Address *

Student Home Phone *

Student Ethnicity *

• NZ Pākehā
• Māori
• Pacific Islands
• Australian
• Asian
• Middle Eastern/Latin American/African
• North America
• Europe/UK
• Other

Other Ethnicity

Student Iwi Affiliations

If you have classified your child as Maori can you please write down any Iwi affiliations.

Student New Zealand Citizen/Residency: *

• Yes
• No

Please supply evidence by: Birth Certificate or Passport. These must be sighted by the office staff for legal purposes.

Date Arrived in NZ/Aotearoa

Student Country of Birth

ECE attendance (Early Childhood Education) *

• Yes
• No

Did your child attend Early Childhood Education regularly?

ECE type (Early Childhood Education) *

• Did not attend
• Kōhanga Reo
• Playcentre
• Kindergarten or Education and Care Centre
• Home based service
• Playgroup
• Correspondence
• Attended, but only outside New Zealand
• Attended but don't know what type of service

What type of Early Childhood Education did your child receive?

ECE Years Attended (Early Childhood Education) *

• Did not attend
• 6 months
• 1 year
• 18 months
• 2 years
• 3 years
• 4 years

How many months/years did your child attend an Early Childhood Education service?

ECE Hours per Week (Early Childhood Education) *

How hours per week did your child attend an Early Childhood Education service?

Previous Preschool *

Please note the name of the preschool last attended by your child.

Previous School Name *

Please enter the name and address of your previous school.

Proposed Starting Date at Wadestown School *

Please state when your child will start at Wadestown School.

Health *

Are there any health issues we should be aware of? Allergies? Medication? Asthma? Speech? Serious problems?

Family Doctor *

Please supply a current immunisation certificate.

Vision/Hearing *

• Yes
• No

Do you consent to your child's vision and hearing being tested.

Custody and Court Orders

• Not applicable
• Yes

(If Applicable) Has a Court Order been issued?

Further Information

(If Applicable). Give any relevant information.

Extra copy of school report to

Please list contact details for who the report needs to be sent to.

Postal Address

English Language, Learning and Behaviour

(If Applicable) Does your child require English language support or have any major learning or behaviour needs that we should be aware of? Please give details

Specialist Resourcing/Agencies

(If Applicable) Is your child receiving or in need of receiving and specialist services and resources from any agencies? Please give details

First Caregiver Name *

First

Last

First Caregiver Address *

First Caregiver Occupation

First Caregiver Home Telephone Number

First Caregiver Work Telephone Number *

First Caregiver Mobile Number *

First Caregiver Email Address *

Second Caregiver Name *

First

Last

Second Caregiver Address *

Second Caregiver Occupation

Second Caregiver Home Telephone Number

Second Caregiver Work Telephone Number *

Second Caregiver Mobile Number *

Second Caregiver Email Address *

First Emergency Contact Name

First

Last

First Emergency Contact Relationship to Student

First Emergency Contact Number

Second Emergency Contact Name

First

Last

Second Emergency Contact Relationship to Student

Second Emergency Contact Number

Siblings Names and Dates of Birth

(If Applicable) Please include preschool siblings full names and dates of birth.

Family History

Please indicate below if there is any family history of dyslexia or reading difficulties. This is not a label but may help us to identify any issues more quickly

Privacy Statement *

• No
• Yes

The information collected will be used by the school for enrolment 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.

Parent Approvals *

• No
• Yes

I agree that the school will take action on my behalf in case of sudden illness or injury, to abide by the school's policies, that my child’s work and image may be used in accordance with the school’s online publishing policy/procedures and that the school may forward my child’s name and address to a potential intermediate or secondary school.

Additional Information

Submit