ContractEnrolment Agreement • July 24th, 2014
Contract Type FiledJuly 24th, 2014Iqra Educare921 Heaphy TceClaudelands 3200ph 07 8550568 email iqraeducare.wma@gmail.comEnrolment Agreement Form 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: Can your child speak English? Yes NoLanguage/s spoken at home: Child’s primary residential address: Post Code: Religious Affiliation: Which primary school will your child attend? ♦ Privacy Statement: We are collecting personal information on this enrolment form for the purposes of providing early childhood education for you