Application for EnrolmentNB: Completion of this form does not guarantee a place at Bayfield High School. Your enrolment will be confirmed when you receive a letter of acceptance. Enrolling in Select...Year 9 Year 10 Year 11 Year 12 Year 13 Start date Student Family name Given name(s) Preferred name Date of birth Gender Address Suburb City Postcode Student's mobile phone number Student lives with Select...Both parents Mother Father Caregiver 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 Past education Previous school Class teacher Other student details New Zealand Residency or Citizenship? Select...NoYes If no, what date did you enter New Zealand? Country of birth 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 Select...NoYes Name(s) House Select...Anderson Begg Herron Ross Somerville 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. Medical details Immunisation up-to-date? Select...Yes No Allowed Panadol? Select...NoYes 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 Select...NoYes Subjects currently taken at previous school Financial and administrative information Invoices / Accounts are to be sent to Select...Both parents Father only Mother only Caregiver only Reports / Newsletters are to be sent to Select...Both parents Father only Mother only Caregiver only Student undertaking I request that I be admitted to Bayfield High School I agree to abide by the school's expectations for behaviour, attendance, and uniform Full name Date Parent / Caregiver undertaking I agree to support the school's expectations for behaviour, attendance, uniform and all other matters concerning the welfare of my son / daughter at Bayfield High School. I give consent to my child's photograph and / or school work being used by the school for the purpose of promotion within the school newsletter, newspaper, magazine, website or other promotional advertising. I agree to pay all compulsory fees associated with selected course and take home components. I agree that minor school related costs such as for travel to Athletic Sports or the cost of a Student Diary may be added to my account when applicable. All compulsory school fees and charges are to be paid in full before the end of term one, unless being paid by regular automatic payment. Unpaid accounts will be referred to a collections agency. All costs incurred in the collection of overdue accounts will be payable by the parents / caregivers.Address, email address, and phone number details are collected at the time of enrolment and during the student’s time at school so that the school can contact the parent or student as necessary, including subscription to our email newsletters. These contact details, students’ qualifications, career aspirations and / or tertiary study plans and other details may also be passed on to the Ministry of Education, the Ministry of Social Development (MSD) or other relevant agencies.Family circumstances may change in the course of a year. The more up-to-date information we have, the better. Please notify the school of any changes to a living arrangement, address, contact number or health issue AS SOON AS POSSIBLE by a note or email to the school. Full name Relationship to student Date