Update Your Contact Details
It is important that we ensure all student contact details are up to date in case of emergency. Remember to push the submit button once completed.
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Contact Details
First Parent/Caregiver Name *
First Parent/Caregiver home phone number
First Parent/Caregiver work phone number
First Parent/Caregiver mobile phone number
First Parent/Caregiver email address
For receiving school invoices, newsletter and other school related information.
Second Parent/Caregiver Name
Second Parent/Caregiver home phone number
Leave blank if same as above
Second Parent/Caregiver work phone number
Leave blank if same as above
Second Parent/Caregiver mobile phone number
Leave blank if same as above
Second Parent/Caregiver email address
Leave blank if same as above
Home Address
Please include RD numbers, rapid numbers and post codes where applicable.
Emergency Contacts
First Emergency Contact Name
Relationship to child
Emergency contact phone numbers
Second Emergency Contact Name
Relationship to child
Second Emergency Contact phone numbers
Medical Details
Complete this section only if your child has a medical condition that the school needs to be aware of.
First child name
First child DOB
First child Medical Details
Second child name
Second child DOB
Second child Medical Details
Third child name
Third child DOB
Third child Medical Details
Submit
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This form was created inside of Kumeroa School.