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WAIKATO Learning Matters - Enrolment Form 2019
Student Enrolment Form for Assessments and Education Sessions 2019
Please note this form includes, for your information, the Learning Matters Terms and Conditions, including our Enrolment period, Financial information and Learning Matters semester dates. Following your child's assessment, the assessor will give a recommendation of session type and frequency.

The Waikato has 3 locations:
562 Bank Street, Te Awamutu, 3800
117 Comries Road, Hamilton, 3204
22a Taylor Street CAMBRIDGE, 3434

PH 027 LEARNIN (532 7646)

Your point of contact for invoicing is our financial administrator, Kayla

Student Name: *
Your answer
Location *
Which WAIKATO centre will you be enrolling in?
Date of Birth *
School Currently Attending *
Your answer
Year Level *
Parent / Caregiver Name(s) *
Your answer
Parent Contact Phone Number *
Your answer
Email Address *
Your answer
Home Address *
Your answer
Emergency Name and Contact *
In case of Emergency and the parent is unable to be contacted, please share the details of the next person to contact
Your answer
Emergency person's contact number *
Your answer
Enrolling in *
Please note maths sessions are only currently available in the Te Awamutu and Hamilton centres.
Behavioural Concerns or Conditions *
Does your child present with any behavioural concerns or is diagnosed with any behavioural conditions?
Your answer
Previous remediation, support, interventions *
Has your child had any previous tutoring, in school support, out of school support, other assessments?
Specific Learning Differences Identified: *
Please ensure any supporting documents are forwarded to your child's assessor and educator.
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