Enrolment form

For a paper copy of our enrolment form please phone the school office – 03 455 0113

Enrolment

Enrolling in
Start date

Student

Family name
Given name(s)
Preferred name
Date of birth
Gender
Address
Suburb
City
Postcode
Phone
Student lives with

Caregiver 1 details

Relationship
First name
Surname
Address
Suburb
City
Postcode
Home phone
Work phone
Mobile phone
Email
Occupation

Caregiver 2 details

Relationship
First name
Surname
Address
Suburb
City
Postcode
Home phone
Work phone
Mobile phone
Email
Occupation

Emergency Contact (If Caregiver 1 and Caregiver 2 are unavailable)

Relationship
Full name
Home phone
Work phone
Mobile phone
Email

Other student details

Previous school
Class teacher
Ethnicity
If Maori, please state Iwi if known
What is the main language spoken at home?

Family history

Brothers / sisters who are attending or who have attended Bayfield High School
Name(s)
House
Are there any specific access / custody orders that the school should be aware of?
Are there any other community agencies, e.g. CYFS, Mirror Counselling, Youth Specialty Services, Youth Aid, involved in supporting this student.

Family history

Allowed Panadol?
Please list any medical problems and information the school should be aware of
Doctor
Medical centre
Phone

Co-Curricular Involvement

Which sports has this student been involved with prior to enrolling at Bayfield High School?
Level of Achievement
Which sports would they like to be involved with at Bayfield High School?
What music, dance, drama or other performing arts activities has this student been involved with prior to enrolling at Bayfield High School?
Level of Achievement
Which music, dance, drama or other performing arts activities would they like to be involved with at Bayfield High School?

Students Enrolling From Another High School

Name of school
NSN number
Copies provided of previous reports and credits achieved from your previous school
Subjects currently taken at previous school

Financial And Administrative Information

Invoices / Accounts are to be sent to
Reports / Newsletters are to be sent to

Student undertaking

Full name
Date

Parent / Caregiver undertaking

Full name
Relationship to student
Date
Phone: 03 455 0113        Email:        Address: 2 Shore Street, DUNEDIN
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