ContractEnrolment Agreement • February 26th, 2013
Contract Type FiledFebruary 26th, 2013Administration Records Enrolment Agreement Form 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 Foreign birth certificateNew Zealand passport Foreign passportOther Staff 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 purpose 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