Squiggle Re-Enrolment Form: 10th - 21st July 2017

If you've already enrolled your child/ren into Squiggle, you can use this re-enrolment form instead of completing the usual enrolment form.

Once you have completed the form, we will send your invoice for payment which must be paid prior to your child attending the programme.

If you are eligible for WINZ/Study Link, please ensure you have approval with WINZ/Study Link prior to enrolling your child/children.

Please ensure you have read and agreed to the Disclaimer for enrolling your child/children (www.squiggle.org.nz/disclaimer).

    Child's Details

    Please complete the following information for your child/ren.
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    Emergency Contact Details

    If there are any changes to your emergency details, please add here. If there are no changes, leave blank.
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    Health and Special Needs

    If there are any changes to their health and/or medical conditions, please list these. If there are no changes, leave this section blank.
    This is a required question
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    Un-Authorised Collection

    If there are changes to who CANNOT pick up your child/ren, please fill in this section.
    This is a required question
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    Dates and Location

    Choose which dates and location you'd like to enrol into.
    This is a required question

    Parent/Guardian Details

    This is a required question
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