First Name
Middle Name
Last Name
Preferred Name
Birth date
Gender
Select Gender...
Female
Male
Gender Diverse
Address
Postcode
Country of Birth
Ethnicity
Iwi
Hapu
Languages
Previous School ECE
Details of Parent 1:
Please provide as much contact information as possible.
Parent 1 Title
Select title:
Mr
Mrs
Ms
Miss
Mx
Dr
Parent 1 Name
Parent 1 Email
Parent 1 Home Phone
Parent 1 Mobile Phone
Parent 1 Work Phone
Parent 1 Address
Details of Parent 2:
Please provide as much contact information as possible.
Parent 2 Title
Select title:
Mr
Mrs
Ms
Miss
Mx
Dr
Parent 2 Name
Parent 2 Email
Parent 2 Home Phone
Parent 2 Mobile Phone
Parent 2 Work Phone
Parent 2's Address
First Emergency Contact
First Emergency Contact Name
First Emergency Contact Relationship
First Emergency Contact Phone
Second Emergency Contact
Second Emergency Contact Name
Second Emergency Contact Relationship
Second Emergency Contact Phone
Child's Doctor
Doctor's Name
Medical Centre
Doctor's Phone
Medical Information
Medical Other Info
Immunisation Record
Early Childhood Education
Was ECE attended regularly?
ECE Duration
Please select:
Yes, regularly attended for 1 year
Yes, regularly attended for 2 years
Yes, regularly attended for 3 years +
Occasionally attended
Not attended
Did your child attend an ECE service in the 6 months prior to starting school?
Please tick each type of ECE service your child attended:
Custody Access Conditions
Custody info
Ongoing Support
Does your child have a special need or require additional learning support, such as: hearing, sight, speech, ADHD, Autism, Dyslexia, toileting?
Specialist Support
Has your child received specialist support? RTLB, ORS, SPELD? If yes, please provide more information below.
Specialist Support Info
Future Siblings to Attend
Please add their full legal name and date of birth:
Siblings
Privacy Statement
The information collected in this form will be used by Frankley School for enrolment and therefore is an essential part of the information held by the school about 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/Caregiver Acknowledgements
Parent Approval For Sudden Illness and Injury
I agree that the school will take action on my behalf in case of sudden illness or injury to my child. This includes incidents at school and off-site, where applicable.
Education Outside the Classroom
From time to time there are opportunities to enhance your child's learning through education outside of the classroom (EOTC), school day-trips, sports days and some events like shows in school. Parents are informed prior to such trips or events. For convenience, we only ask parents/carers to sign this EOTC permission once. It will stay in place for all of the years that your child is at Frankley School unless we are told otherwise. If there is a change in circumstances and you would like to change your permission choice, please contact the school office and we can amend our records.
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