Royal Oak Intermediate School - Enrolment Form
Student Details
Please note - legal names must match those on the identification supplied (passport or full birth certificate)
Family Name - legal *
Your answer
Family name - preferred (if applicable - not required)
Your answer
First name(s) - legal *
Your answer
First name - preferred (what does your child like to be called?) *
Your answer
Date of birth *
MM
/
DD
/
YYYY
Student gender *
Previous School *
Your answer
Immigration Status
Was the student born in New Zealand? *
If no, how long has the student lived in New Zealand?
Your answer
Date of arrival in New Zealand
MM
/
DD
/
YYYY
What is the student's immigration status?
Ethnicity information
Primary ethnicity - what ethnicity does the student mainly identify with? *
Secondary ethnicity - if the student identifies with more than one ethnicity, what is their second ethnicity?
If one of the answers above is Other please name student ethnicity
Your answer
If the student identifies as NZ Maori please indicate Iwi
Your answer
Language Information
What is the child's first language? *
Your answer
What is the main language spoken at home? *
Your answer
Caregiver 1 Information
Family name *
Your answer
First name *
Your answer
Title *
Are you the student's legal guardian? *
Address *
Your answer
Home phone number - please put nil if you don't have one *
Your answer
Mobile phone number - please put nil if you don't have one *
Your answer
Work phone number - please put nil if you don't have one *
Your answer
Email address - please put nil if you don't have one *
Your answer
Relationship to the child: *
If answer above is 'other' please state relationship
Your answer
Caregiver 2 Information
Family name *
Your answer
First name *
Your answer
Title *
Are you the student's legal guardian? *
Address *
Your answer
Phone number(s) - please include home, work and mobile *
Your answer
Email address (please put Nil if you don't have one) *
Your answer
Relationship to the child: *
If answer above is 'other' please state relationship
Your answer
The student is mainly living with *
The student is mainly living with
Your answer
Emergency Contact Information (Must not be the same as the Caregivers)
Family name *
Your answer
First name *
Your answer
Phone number(s) - please include home, work and mobile *
Your answer
Relationship to the child: *
Learning Needs
Does your child have additional learning needs? Have they received learning support (e.g. SENCO, RTLB, reading recovery) in the past? *
If the answer above is yes please provide details
Your answer
Medical Information
Family Doctor - name, medical centre, phone number *
Your answer
Does your child have any existing medical conditions or allergies? *
If the answer above is yes please provide details
Your answer
Is your child on any regular medication? *
If the answer above is yes please provide details
Your answer
I give permission for my child to be given paracetamol (panadol) for pain relief *
Is this an In Zone or Out of Zone enrolment? For a list of streets in our zone click here: https://docs.google.com/document/d/1b2JofharR8PV78pj2l0720HaZ0apSoGoOZzpiM0NGs8/edit?usp=sharing *
Captionless Image
Out of zone enrolment status - please tick all that apply
If you have ticked one of the first four options above please name the student, staff member or Board member referred to
Your answer
Supporting Documents
Originals of these documents need to be brought to the school office for the enrolment to be complete
Supporting documents required - in zone enrolment
Supporting documents required - out of zone enrolment
Declaration
Please check the box next to each statement to indicate that you agree *
Required
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