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Home
Our School
Pepeha
Mission Statement
Enrolment
Key Features
Special Features
Our People
Information
Vacancies
School Docs & Charter
Ero Report
Newsletters
Shop
Contact
Update Student details
Absences
Tokoroa North School Enrolment Form
Student Details
Legal Surname
Preferred Surname
Legal First Name
Preferred First Name
Date of birth
Gender
Male
Female
Address
Ethnictity
If of Māori descent, please enter Iwi if known
I would like more information about our Māori or Pasifika Whanau group
Yes
No
Languages spoken at home
Country of Birth
Sibling Information:
Sibling 1 Full name
Room
Date of Birth
Sibling 2 Full name
Room
Date of Birth
Sibling 3 Full name
Room
Date of Birth
Caregiver Information:
Caregiver 1 Full name
Relationship to child
Workplace
Contact Phone Number
Work Phone
Address
Email
Caregiver 2 Full name
Relationship to child
Workplace
Contact Phone Number
Work Phone
Address
Email
Emergency Contacts:
1: Contact Person's Full Name
Relationship to child
Phone Number
2: Contact Person's Full Name
Relationship to child
Phone Number
3: Contact Person's Full Name
Relationship to child
Phone Number
Health Information:
Doctor:
Immunisations
Complete
None
Immunisation Record Presented
Yes
No
Allergies:
Medication:
Vision
Sight
Hearing
Speech
Other/Further information
I give permission for the school to administer pain relief if required.
I understand that the school will take action on my behalf in case of injury or sudden illness.
I give permission for my child to leave the school grounds for curriculum activities within Tokoroa under the supervision of a teacher while my child attends Tokoroa North School.
I give permission for my child to be seen by the DHB Vision Hearing Technician when required.
I give permission for my child’s photograph to be published in public print publications.
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