Student Enrolment Form

STUDENT DETAILS

DATE OF BIRTH: *

(Please provide copy of birth certificate or passport) *

ELDEST IN FAMILY AT THIS SCHOOL: Yes No

PARENTS/CAREGIVERS

CAREGIVER 1 (this will be used as emergency contact 1)

CAREGIVER 2 (this will be used as emergency contact 2)

Proof of address: e.g. utility bill *

ECE

If your child is a New Entrant, did they attend an Early Childhood Centre (ECE) regularly prior to school? Yes No

HEALTH, LEARNING AND BEHAVIOUR

Is your child fully immunised? Yes No

Has your child had a before school check? Yes No

Vision/hearing concerns? Yes No

I consent to my child’s hearing/vision being tested? Yes No

APPROVALS AND CONSENTS

Published Materials: We regularly display children’s work and photographs on our school website, on Educa, in the newsletter and in other online and print environments (without labelling the photographs with the student’s name).

I give permission for my child’s work and image to be used in school publications/Educa/Facebook etc Yes No

EOTC: During your child’s education at Glenview School there will be many times when the class will visit local places of interest. We believe our immediate surroundings provide valuable opportunities for children’s learning.

I give permission for my child to visit places within the area of Glenview School Yes No

Technology: During your child’s education at Glenview School they will access the internet at school as part of their daily learning programme.

I give permission for my child to use apps, email and the internet Yes No

Other Agencies: There are times when the following agencies may be involved in the care and welfare of our school children; Ear Van/Hearing, Public Health Nurse, Dental Therapist, Vision Checks, Family Support Worker.

I understand that the school will take action on my behalf in case of sudden illness or injury, and I agree to abide by school policies.
I understand and accept that school records containing information about my child may be shared with other education and/or health officials, and will be forwarded on the the next school my child attends.

I give permission for other agencies to be involved in the care and welfare of my child Yes No

Parent Consent: I consent in the event of illness, accident or emergency, when the school is unable to contact caregivers, to allow the school to take necessary steps to ensure the appropriate treatment for my child.

Signed *

Attendance: I understand that the school requires punctual and regular attendance to meet the obligations to the Ministry of Education and that I must explain any absences by communication with the school office each day that my child is absent by 9:30am.

You can report absences through email (glenviewoffice@pen.net.nz), text 021 08876066 or Facebook Message.

Signed *