Common Contracts

Enrolment Agreement Form

January 18th, 2024

• Filed
  January 18th, 2024

Child 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: Child’s Identification: Children may be enrolled into a service even if a parent/caregiver cannot provide identity documentation. It is important to ask for identity documentation, and if a parent/caregiver can provide it, please state in theenrolment form which documentation you sighted. New Zealand birth certificate 🞏 Foreign birth certificate 🞏 New Zealand passport 🞏 Foreign p assport 🞏 Other 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’sprimary residential address: Tick if same as parent/guardian 1🞏 2🞏. Parents / Guardians 1. Given names: 2. Given names: Surname / family name: Surname / family name: Address: Address: Post Code: Post Code: Phone (Home): Phone