2022 Royal Oak Intermediate School - Enrolment Application Form
Please note that out of zone enrolments close on 3 September 2021
Email *
Student Details
Please note - legal names must match those on the identification supplied (passport or full birth certificate)
Family Name - legal *
Family name - preferred (if different to above- not required)
First name(s) - legal *
First name - preferred (what does your child like to be called?) *
Date of birth *
MM
/
DD
/
YYYY
Student gender *
Previous School *
Immigration Status
Was the student born in New Zealand? *
If no, how long has the student lived in New Zealand?
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? *
If the answer above is Other please name student ethnicity
If the student identifies as NZ Maori please indicate Iwi
Secondary ethnicity - if the student identifies with more than one ethnicity, what is their second ethnicity?
Language Information
What is your child's first language? *
What is the main language spoken at home? *
Caregiver 1 Information
Family name *
First name *
Title *
Are you the child's legal guardian? *
Home address *
Home phone number - please put nil if you don't have one *
Mobile phone number - please put nil if you don't have one *
Work phone number - please put nil if you don't have one *
Email address *
Relationship to the child: *
If answer above is 'other' please state relationship
Caregiver 2 Information
Family name *
First name *
Title *
Are you the student's legal guardian? *
Address *
Phone number(s) - please include home, work and mobile *
Email address *
Relationship to the child: *
If answer above is 'other' please state relationship
The student is mainly living with *
The student is mainly living with
Caregivers can view information about the student on the school app for smart phones. This information includes caregiver contact details, attendance data and assessment reporting. Please indicate who should have access to this information *
Emergency Contact Information (Must not be the same as the Caregivers)
If we are unable to get in touch with the main caregivers in an emergency this is someone else we could contact
Family name *
First name *
Phone number(s) - please include home, work and mobile *
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
Medical Information
Family Doctor - name, medical centre, phone number *
Does your child have any existing medical conditions or allergies? *
If the answer above is yes please provide details
Is your child on any regular medication? *
If the answer above is yes please provide details
I give permission for my child to be given paracetamol (panadol) for pain relief *
Enrolment Zone
Out of zone enrolments are open until 3 September 2021, and the ballot for places will take place on 6 September. For a list of streets in our zone click here: https://docs.google.com/document/d/1b2JofharR8PV78pj2l0720HaZ0apSoGoOZzpiM0NGs8/edit?usp=sharing
Is this an In Zone or Out of Zone enrolment? *
Captionless Image
Out of zone enrolments are prioritised, please indicate whether the student matches any of the following criteria
If you have ticked one of the first four options above please name the student, staff member or Board member referred to
We have some special character classes, listed below. If you and your child are interested in one of these classes, please indicate this below.
In conclusion, is there anything you would like us to know about your child, that is not covered in the questions above?
Thank you for completing this initial step in enrolling your child at Royal Oak Intermediate School.
A confirmation email will be sent to the address provided above. To complete enrolment you must:
- Respond to the confirmation email, and
- Bring originals of the documents described below to the school office for our records
Supporting documents required - in zone enrolment
Supporting documents required - out of zone enrolment
Summary and Declaration
Declaration : Please check the box next to each statement to indicate that the student and you agree *
Required
Submit
Never submit passwords through Google Forms.
This form was created inside of Royal Oak Intermediate School. Report Abuse