Online Enrolment

Mufti Day 24th March – Purple day fundraiser

Please note maximum Total file size allowed on this form is 8 MB.

Forms:

Statuory Declaration Form
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Student Details
Student's Name*
First Last
Student's Preferred Name
First Last
Date of Birth*
DD slash MM slash YYYY
Gender*
- Male
- Female
- Other
If "Other", please specify*
Current Year Level

Optional
Eldest Child at School

Optional
Last School Attended

Optional
Address*
Street Address Address Line 2 City Suburb Post Code
Ethnicity
Iwi/Hapu
Pasifika – Please specify
- Samoan
- Tongan
- Niuean
- Fijian
- Tokelauan
- Cook Is Maori
Asian: please specify
MELAA - Please specify
- Middle eastern
- Latin American
- African
- NZ European / Pakeha
- Other
Other (Please specify)*
What is your child’s first language?*
Language 1*
Language 1 - Read*
- Not at All
- A Little
- Fluent
- Understands
Language 1 - Write*
- Not at All
- A Little
- Fluent
- Understands
Language 1 - Speak*
- Not at All
- A Little
- Fluent
- Understands
Language 2*
Language 2 - Read*
- Not at All
- A Little
- Fluent
- Understands
Language 2 - Write*
- Not at All
- A Little
- Fluent
- Understands
Language 2 - Speak*
- Not at All
- A Little
- Fluent
- Understands
Language 3

optional
Language 3 - Read*
- Not at All
- A Little
- Fluent
- Understands
Language 3 - Write*
- Not at All
- A Little
- Fluent
- Understands
Language 3 - Speak*
- Not at All
- A Little
- Fluent
- Understands
Country of Birth*
Country
Date of Arrival in NZ (if applicable)
DD slash MM slash YYYY
Nationality*
Country
If you are interested in your child being in the Maori bilingual unit please ask for and also complete a blue form*
- Yes
- No
Parent/Caregiver Details (1)
Name*
Prefix First Last
Primary Caregiver*
- Yes
- No
Country of Birth*
Country
Relationship to Student*
Address*
Same as Student Home Address

Street Address Address Line 2 City Suburb Post Code
Occupation*
Email*
Receive Newsletter by Email*
- Yes
- No
Home Phone
Work Phone
Mobile Phone*
Ethnic Group
What is the main language you use at home?*
Read*
- Not at All
- A Little
- Fluent
- Understands
Write*
- Not at All
- A Little
- Fluent
- Understands
Speak*
- Not at All
- A Little
- Fluent
- Understands
What other language/s do you use:
Who would you use these languages with:
Parent/Caregiver Details (2)
Name
Prefix First Last
Primary Caregiver
- Yes
- No
Country of Birth
Country
Relationship to Student
Address
Same as Student Home Address

Street Address Address Line 2 City Suburb Post Code
Occupation
Email
Receive Newsletter by Email
- Yes
- No
Home Phone
Work Phone
Mobile Phone
Ethnic Group
What is the main language you use at home?
Read
- Not at All
- A Little
- Fluent
- Understands
Write
- Not at All
- A Little
- Fluent
- Understands
Speak
- Not at All
- A Little
- Fluent
- Understands
What other language/s do you use:
Who would you use these languages with:
Guardian
Name
Prefix First Last
Relationship to Student
Address
Street Address Address Line 2 City Suburb Post Code Country
Home Phone
Work Phone
Mobile Phone
Occupation
Ethnic Group
What is the main language you use at home?
Read
- Not at All
- A Little
- Fluent
- Understands
Write
- Not at All
- A Little
- Fluent
- Understands
Speak
- Not at All
- A Little
- Fluent
- Understands
What other language/s do you use:
Who would you use these languages with:
Emergency Contact (other than Parents)
Name*
Prefix First Last
Relationship to Student*
Address*
Street Address Address Line 2 City Suburb Post Code Country
Home Phone
Work Phone
Mobile Phone*
Health
Allergies
Medication
Hearing
Vision
Speech
Other Health Issues
Special Learning and Behavioural Needs
Immunisation*
- Yes
- No
Medical Center Name*
Doctor's Name*
Phone*
Custody/Access Arrangements
Court Order Issued*
- Yes
- No
Court Order Documents
Accepted file types: jpg, png, pdf, doc, docx, Max. file size: 8 MB.
Access Arrangement
Early Childhood Education
Did your child regularly attend one or more Early Childhood Education service(s) in the 1 year prior to starting school?*
NB: “Regularly attend” means the child was booked into a service for sessions each week/fortnight, and generally went to those sessions unless they were sick, or on holiday, or had a family occasion, etc.
- Yes
- Attended, but only outside New Zealand
- Attended, but don’t know what type of service
- Not regularly, only occasionally with no on-going schedule.
- Did not attend any Early Childhood Center
What was the name of the Centre*
If yes, for how many years?*
Attended, but only outside New Zealand (Please give details)*
Prior-Participation in Early Childhood Education
Please select (up to 3 services) for the last Early Childhood Education service(s) attended in the six months prior to starting school
- Kohanga Reo
- Play Center
- Kindergarten or Educations and Care Centre
- Home based service
- Playgroup
- The Correspondence School - Te Aho Te Kura Pounamu
Hours per Week at Kohanga Reo*
Hours per Week at Play Center*
Hours per Week at Kindergarten or Educations and Care Centre*
Hours per Week at Home based service*
Hours per Week at Playgroup*
Hours per Week at The Correspondence School - Te Aho Te Kura Pounamu*
Documents
Statuory Declaration Form*
Accepted file types: jpg, png, pdf, doc, docx, Max. file size: 8 MB.
Proof of in zone address*
Council rates, water care, electricity bill, tenancy agreement.
Accepted file types: jpg, png, pdf, doc, docx, Max. file size: 8 MB.
Student's Birth Certificate/Passport*
If student is a New Zealand citizen
Accepted file types: jpg, png, pdf, doc, docx, Max. file size: 8 MB.
Student's Passport*
If student is not a New Zealand citizen.
Accepted file types: jpg, png, pdf, doc, docx, Max. file size: 8 MB.
Parent's Passport*
If student is not a New Zealand citizen.
Accepted file types: jpg, png, pdf, doc, docx, Max. file size: 8 MB.
Parent's Visa*
If student is not a New Zealand citizen.
Accepted file types: jpg, png, pdf, doc, docx, Max. file size: 8 MB.
Immunisation Documents*
Accepted file types: jpg, png, pdf, doc, docx, Max. file size: 8 MB.
Additional Fields
Does your child’s name have a meaning? Is he/she named after someone in your family?
Do you have other family assisting and caring for your child?
What is your child’s sleep routine? Are they a good sleeper?
Does your child have any worries/concerns/fears that we would need to know about?
Tell us what your family enjoys doing together?
Does your child have a passion or strength in/or about something in particular?
Who does your child like to play with/spend time with? (friends, pets, adults, siblings, on their own etc.)
Do you and your child share reading / story telling / Bible time etc.? Tell us about this.
Does your child belong to any clubs/sports/church groups etc?
Does your child use a computer/iPad/tablet/smartphone at home or pre-school?
What kind of learning environment / experiences would you like MBS to provide for your child?
Privacy & Policy
Permissions
I give permission for my child to go on local school trips within walking distance of Mangere Bridge School (for other trips you will receive a separate permission slip)*
- Yes
- No
I understand that I may withdraw my permission at any time for any event or trip.*
- Yes
- No
I give permission for photos to be taken of my child*
- Yes
- No
Occasionally we publish photos of children in the Newsletter, This is put onto the Mangere Bridge School Website. I give permission for photos of my child to go on the school website*
- Yes
- No
I give permission for photos of my child to go on social network(Facebook)*
- Yes
- No
I give permission for the school to request extra help for my child, if needed from: Special Education, Resource Teacher, Learning and Behaviour, Ministry of Education, Discretionary Hours*
- Yes
- No
I give permission for the school to contact the early childhood centre my child attended to request information in support of my child's transition to school.*
- Yes
- No
I understand that any information provided on my child will be used to assist my child and will be used according to the provisions of the Privacy Act, 1993*
- Yes
- No
Privacy Statement
The information collected will be used by the school for enrollment and forms an essential part of the information held by the school on your child. The records made from this information may be viewed on request at the school. The information collected may be disclosed to appropriate education, health and welfare authorities and for data-gathering purposes by the New Zealand Ministry of Education, in accordance with the principles of the Privacy Act. It will not be disclosed to any other person or agency unless such disclosure is authorised or required by law.
Parent Declaration
I/We hereby make an application to enrol my son/daughter at Mangere Bridge School under the terms and conditions of the Enrolment which I/we accept as applying to him/her. I/We agree that he/she will be subject to school rules and I/we will endeavour to see that he/she obeys them. I/We understand the school will take action on my behalf in case of injury or sudden illness.
Signature
By signing this below, I confirm that the information given in this form is true, complete and accurate.
Full Name*
Date*
DD slash MM slash YYYY
CAPTCHA
Name
This field is for validation purposes and should be left unchanged.

Forms:

Student Details

Ethnicity

Parent/Caregiver Details (1)

Parent/Caregiver Details (2)

Guardian

Emergency Contact (other than Parents)

Health

Custody/Access Arrangements

Early Childhood Education

Documents

Additional Fields

Privacy & Policy

Signature

Contact

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