Enrolment Agreement FormEnrolment Agreement • April 3rd, 2014
Contract Type FiledApril 3rd, 2014♦ Child’s details: Child’s official surname or family name: Child’s official given name: Child’s official other names / middle names:(please separate names with a comma): Name your child is known by / preferred name:Surname / family name: Given name: Copy of official identity verification document* collected by staff: ❑ New Zealand birth certificate❑ New Zealand passport❑ Other ❑ Foreign birth certificate❑ Foreign passportStaff initials: Child’s date of birth: d d / m m / y y y y Male Female Child’s ethnic origin/s: Iwi your child belongs to: Language/s spoken at home: Child’s primary residential address: Post Code: ♦ Privacy Statement: We are collecting personal information on this enrolment form for the purposes of providing early childhood education for your child. We will use and disclose your child’s information only in accordance with the Privacy Act 1993. Under that Act you have the right to access and request correction of any personal information we hold about yo