International Student Enrolment Form

Legal Surname

Legal First Name/s

Preferred First Name

For use on class lists, reports, etc

Address

Post Code

Date of Birth

Gender MaleFemaleNon-binary

Country of Birth

Country of Citizenship

I have and/or will supply a copy of my child's birth certificate/passport and proof of our address when requested.

Ethnicity NZ EuropeanMaoriPacific IslandsAsianOther EuropeanOther

Language spoken at home

Level of English BeginnerIntermediateAdvanced

Visa Information

Date of Arrival in New Zealand

Child Enrolled at FHS has Visitor Visa ( International Student )

Term of Enrolment

Family Visas Student ( Visa copy received )Mother ( Visa copy received )Father ( Visa copy received )

Fees Paid $

Will you be applying for Permanent Residence/Work Permit

YesNo

International students. Translator or NZ bilingual contact ( speaks English )

Translator Name

Translator Mobile

Translator Agent

Translator Agent Mobile

Parents and Guardians

Mother / Guardian's Name

Occupation

Contact Phone

Parent Email

Language Spoken

Parent's Address

Father / Guardian's Name

Occupation

Contact Phone

Parent Email

Language Spoken

Parent's Address

Preferred Contact Email

Custodial Information

Lives with: Mother and FatherMotherFatherShared CustodyCaregiver

Extra Report Required

Other Information

Access Restrictions / Custody Arrangements / Court Order - Documentation may be requested

Emergency Contact

Family or friends we can contact if parents are unavailable

Contact List

Name	Phone	Relationship to child

Medical Information

We will need to sight or have a copy of your child's Immunisation Certificate

Health AsthmaAllergiesDiabetesOther

Inhaler at school

Anything else we need to know?

Health Permission Declaration I acknowledge that a separate form is required, to be signed, if medication is to be administered by staff.I give permission for the school to get medical help for my child should an emergency arise and neither the caregivers nor emergency contacts are able to be contacted. I will provide needed medication for the school to hold on site. If required.

Pre-school / School

Previous Pre-school or School

Current Year Level

Other Siblings: Currently at FHSPast Pupil of FHSFuture Student

Early Childhood Education

Did your child regularly attend Early Childhood Education services in the six months prior to starting school?
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.

Did your child attend Early Childhood Education Yes, details followNo, did not attend Early Childhood EducationOlder than 5 years

Early Childhood Education Providers

Please enter the number of "hours per week" for up to three services

Service Type ( Ie Kindergarten / Kohango Reo )	Service Name	Hours per week

Declaration

Enrolment Zone We reside in the Forrest Hill Primary School zoneWe reside out of the Forrest Hill Primary School zone

Enrolment Declaration The information given on this form is true and correct. I also understand that the school will act on my behalf in case of student injury or illness. I understand that my child’s records will be passed to subsequent schools. I give authority to the Principal to act on my behalf in any medical emergency.I have read and signed the Responsible Use of ICT form attached to this enrolment form.I agree to abide by all Board of Trustee policies. These are available on the “School Docs”.In accordance with the Privacy Act we are required to obtain your informed and signed consent to store and access the data on this form. I give permission for the information to be stored and accessed by teachers and Administration of Forrest Hill Primary School.

I have read and signed approval for my child, or my child’s work, to be photographed and displayed on the school website, school newsletter or the wider on-line community.

Signature Typed

Please type your full name

Signed by MotherFatherGuardian

Date

International Submission Form

International Enquiry Submission Form