Parents/Caregiver Details (1)
Parents/Caregiver Details (2)
Emergency Contact (1)
Emergency Contact (2)
Pandemic or Civil Defence Emergency Contact
Please specify below person/s out of the Wellington area who is authorised to collect your child in the event of a civil emergency e.g. Flood, Earthquake
Privacy Statement: The information collected will be used by the school for enrolment 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 NZ 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.
I agree that the school will take action on my behalf in case of sudden illness or injury. I agree to abide by school policies. I agree that the school may forward my child’s name and address to a potential secondary school.