ENROLMENT AGREEMENT FORM – PART 1Enrolment Agreement • December 22nd, 2020
Contract Type FiledDecember 22nd, 2020Centre: System Reference: ⧫ Child’s Details: Child’s official surname or family name: Child’s official other names/ middle names:(please separate names with a comma) Child’s official given name: Name your child is known by/ preferred name: Surname/ family name: given name: Male Female Where does your child live? Child’s primary residential address: Alternative Address (if applicable) City: Postcode: City: Postcode: Copy of official identity verification document* collected by staff:New Zealand birth certificateNew Zealand passportForeign birth certificateForeign passportOther (specify) Staff initials Child’s ethnic origin/s: Iwi your child belongs to: Please circle the ethnics group(s) you identify with:NZ European Cook Island Maori ChineseIndian Korean Samoan TonganOther (please state): Please complete if you are NZ Maori Iwi 1 Iwi 2 Iwi 3 Languages spoken at home: Is English the primary language spoken at home: Yes No