Enrolment - Please read these instructions before completing the form.If you wish to return to the form prior to submitting please scroll to the bottom and check the 'Remember me on this computer'.Red star questions are required For any assistance please email [email protected] Enrolment Information Intended Start Date * Day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Day Month January February March April May June July August September October November December Month Year 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034 2035 2036 2037 2038 Year Start Year Level - Select 1 2 3 4 5 6 7 8 9 10 11 12 13 The student's academic year level at entry Student Details The 'preferred name' is what the child would like to be known as, at school. - Student Legal Name * First name Middle name/s Last name Please enter the student's legal name as it appears on their Birth Certificate. Preferred Name First name Middle name/s Last name Date of Birth * Day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Day Month January February March April May June July August September October November December Month Year 2024 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909 1908 1907 1906 1905 1904 Year Gender - Select Male / Tāne Female / Wahine Gender diverse not further defined / Ira tāngata kōwhiri kore Transgender male to female / Whakawahine Transgender female to male / Tangata ira tāne Gender diverse not elsewhere classified / Ira tāngata kōwhiri kore Select gender - Please select Female / Wahine Male / Tāne Please select reported gender Country of Birth * - Select New Zealand Australia Samoa India China Germany Japan United Kingdom United States Afghanistan Albania Algeria Andorra Angola Antigua and Barbuda Argentina Armenia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bhutan Bolivia, Plurinational State of Bosnia and Herzegovina Botswana Brazil Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cabo Verde (was Cape Verde) Central African Republic Chad Chile Colombia Comoros Congo Congo, the Democratic Republic of the Costa Rica Côte d'Ivoire Croatia Cuba Cyprus Czechia (was Czech Republic) Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France Gabon Gambia Georgia Ghana Greece Grenada Guatemala Guinea Guinea-Bissau Guyana Haiti Holy See (Vatican City State) Honduras Hungary Iceland Indonesia Iran, Islamic Republic of Iraq Ireland Israel Italy Jamaica Jordan Kazakhstan Kenya Kiribati Korea, Republic of Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg North Macedonia, The Republic of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia, Federated States of Moldova, Republic of Monaco Mongolia Montenegro Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Nicaragua Niger Nigeria Norway Oman Pakistan Palau Palestine, State of Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Qatar Romania Russian Federation Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Sudan Spain Sri Lanka Sudan Suriname Eswatini (was Swaziland) Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan Tanzania, United Republic of Thailand Timor-Leste Togo Tonga Trinidad and Tobago Tunisia Türkiye (was Turkey) Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates Uruguay Uzbekistan Vanuatu Venezuela, Bolivarian Republic of Viet Nam Western Sahara Yemen Zambia Zimbabwe Country or Jurisdiction of Citizenship * - Select New Zealand Australia Samoa India China Germany Japan United Kingdom United States Afghanistan Albania Algeria Andorra Angola Antigua and Barbuda Argentina Armenia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bhutan Bolivia, Plurinational State of Bosnia and Herzegovina Botswana Brazil Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cabo Verde (was Cape Verde) Central African Republic Chad Chile Colombia Comoros Congo Congo, the Democratic Republic of the Costa Rica Côte d'Ivoire Croatia Cuba Cyprus Czechia (was Czech Republic) Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France Gabon Gambia Georgia Ghana Greece Grenada Guatemala Guinea Guinea-Bissau Guyana Haiti Holy See (Vatican City State) Honduras Hungary Iceland Indonesia Iran, Islamic Republic of Iraq Ireland Israel Italy Jamaica Jordan Kazakhstan Kenya Kiribati Korea, Republic of Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg North Macedonia, The Republic of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia, Federated States of Moldova, Republic of Monaco Mongolia Montenegro Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Nicaragua Niger Nigeria Norway Oman Pakistan Palau Palestine, State of Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Qatar Romania Russian Federation Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Sudan Spain Sri Lanka Sudan Suriname Eswatini (was Swaziland) Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan Tanzania, United Republic of Thailand Timor-Leste Togo Tonga Trinidad and Tobago Tunisia Türkiye (was Turkey) Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates Uruguay Uzbekistan Vanuatu Venezuela, Bolivarian Republic of Viet Nam Western Sahara Yemen Zambia Zimbabwe Language Spoken at home * - Select English Māori Samoan Hindi Mandarin French German Tongan Afrikaans Spanish Korean Dutch Japanese Fijian Cook Island Māori Gilbertese Niue Rarotongan Tahitian Tokelauan Afghani Albanian Amharic Arabic Aramaic Armenian Assyrian Bahasa Malay Bengali Bulgarian Burmese Cantonese Catalan Croatian Czech Egyptian Esperanto Farsi (Persian) Finnish Gaelic Greek Gujarati Hakka Hebrew Hmong Hokkien Hungarian Indonesian Iranian Italian Javanese Khmer Kurdish Lao Lithuanian Malay Malayalam Maltese New Zealand Sign Language Other African Languages Other Chinese Other European Other Indian Language Other Language Other Middle East Languages Other Pacific Languages Other South-East Asian Polish Portuguese Punjabi Romanian Russian Serbian Sinhalese Slovak Slovenian Somali Swahili Swedish Tagalog/Filipino Tamil Tetum (Timor) Thai Turkish Ukranian Urdu Vietnamese Welsh Yiddish Ethnicity * Select up to three options - Select NZ European Māori Samoan Cook Islands Māori Tongan Niuean Tokelauan Fijian Chinese Filipino Admiralty Islander Afghan African African American Afrikaner Aitutaki Islander Albanian Algerian American Anglo Indian Arab Argentinian Armenian Asian Assyrian Atiu Islander Austral Islander Australian Austrian Banaban Bangladeshi Belgian Belorussian Bengali Bhutanese Bismark Archipelagoan Bolivian Bosnian Bougainvillean Brazilian British Bulgarian Burgher Burmese Burundian Cambodian Cambodian Chinese Canadian Caroline Islander Celtic Central American Indian Chamorro Channel Islander Chilean Chin Colombian Congolese Cornish Corsican Costa Rican Croatian Cypriot Czech Dalmatian Danish Dutch Easter Islander Ecuadorian Egyptian English Eritrean Estonian Ethiopian Eurasian European Falkland Islander Fijian Indian Finnish Flemish French Gaelic Gambier Islander German Ghanaian Greek Greenlander Guadalcanalian Guatemalan Gujarati Guyanese Hawaiian Honduran Hong Kong Chinese Hungarian Icelandic Indian Indian Tamil Indigenous Australian Indonesian Inuit Iranian/Persian Iraqi Irish Israeli/Jewish Italian Jamaican Japanese Jordanian Kanak Karen Kenyan Kiribati Korean Kurd Lao Latin American Latin American Creole Latvian Lebanese Libyan Lithuanian Macedonian Malaitian Malay Malaysian Chinese Malaysian Indian Maldivian Maltese Malvinian Mangaia Islander Manihiki Islander Manus Islander Manx Marianas Islander Marquesas Islander Marshall Islander Mauke Islander Mauritian Mexican Middle Eastern Mitiaro Islander Mongolian Moroccan Nauruan Nepali New Britain Islander New Caledonian New Georgian New Irelander New Zealander Ni Vanuatu Nicaraguan Nigerian North American Indian Norwegian Not Stated Omani Orkney Islander Other African Other Asian Other British Other Chinese Other Ethnicity Other European Other Indian Other Latin American Other Middle Eastern Other Pacific Peoples Other South African Other South Slav Other Southeast Asian Other Sri Lankan Other Zimbabwean Pacific Peoples Pakistani Palau Islander Palestinian Palmerston Islander Panamanian Papua New Guinean Paraguayan Penrhyn Islander Peruvian Phoenix Islander Pitcairn Islander Polish Portuguese Puerto Rican Pukapuka Islander Punjabi Rakahanga Islander Rarotongan Romani Romanian Rotuman Russian Santa Cruz Islander Sardinian Scottish Serbian Seychellois Shetland Islander Sikh Singaporean Chinese Sinhalese Slavic Slovak Slovenian Solomon Islander Somali South African European South African Indian South American Indian South Slav Southeast Asian Spanish Sri Lankan Sri Lankan Tamil Sudanese Swedish Swiss Syrian Tahitian Taiwanese Thai Tibetan Torres Strait Islander Tuamotu Islander Tunisian Turkish Tuvaluan Ugandan Ukrainian United States Creole Uruguayan Venezuelan Vietnamese Vietnamese Chinese Wake Islander Wallis Islander Welsh West Indian Yap Islander Yemeni Zambian Zimbabwean - Select NZ European Māori Samoan Cook Islands Māori Tongan Niuean Tokelauan Fijian Chinese Filipino Admiralty Islander Afghan African African American Afrikaner Aitutaki Islander Albanian Algerian American Anglo Indian Arab Argentinian Armenian Asian Assyrian Atiu Islander Austral Islander Australian Austrian Banaban Bangladeshi Belgian Belorussian Bengali Bhutanese Bismark Archipelagoan Bolivian Bosnian Bougainvillean Brazilian British Bulgarian Burgher Burmese Burundian Cambodian Cambodian Chinese Canadian Caroline Islander Celtic Central American Indian Chamorro Channel Islander Chilean Chin Colombian Congolese Cornish Corsican Costa Rican Croatian Cypriot Czech Dalmatian Danish Dutch Easter Islander Ecuadorian Egyptian English Eritrean Estonian Ethiopian Eurasian European Falkland Islander Fijian Indian Finnish Flemish French Gaelic Gambier Islander German Ghanaian Greek Greenlander Guadalcanalian Guatemalan Gujarati Guyanese Hawaiian Honduran Hong Kong Chinese Hungarian Icelandic Indian Indian Tamil Indigenous Australian Indonesian Inuit Iranian/Persian Iraqi Irish Israeli/Jewish Italian Jamaican Japanese Jordanian Kanak Karen Kenyan Kiribati Korean Kurd Lao Latin American Latin American Creole Latvian Lebanese Libyan Lithuanian Macedonian Malaitian Malay Malaysian Chinese Malaysian Indian Maldivian Maltese Malvinian Mangaia Islander Manihiki Islander Manus Islander Manx Marianas Islander Marquesas Islander Marshall Islander Mauke Islander Mauritian Mexican Middle Eastern Mitiaro Islander Mongolian Moroccan Nauruan Nepali New Britain Islander New Caledonian New Georgian New Irelander New Zealander Ni Vanuatu Nicaraguan Nigerian North American Indian Norwegian Not Stated Omani Orkney Islander Other African Other Asian Other British Other Chinese Other Ethnicity Other European Other Indian Other Latin American Other Middle Eastern Other Pacific Peoples Other South African Other South Slav Other Southeast Asian Other Sri Lankan Other Zimbabwean Pacific Peoples Pakistani Palau Islander Palestinian Palmerston Islander Panamanian Papua New Guinean Paraguayan Penrhyn Islander Peruvian Phoenix Islander Pitcairn Islander Polish Portuguese Puerto Rican Pukapuka Islander Punjabi Rakahanga Islander Rarotongan Romani Romanian Rotuman Russian Santa Cruz Islander Sardinian Scottish Serbian Seychellois Shetland Islander Sikh Singaporean Chinese Sinhalese Slavic Slovak Slovenian Solomon Islander Somali South African European South African Indian South American Indian South Slav Southeast Asian Spanish Sri Lankan Sri Lankan Tamil Sudanese Swedish Swiss Syrian Tahitian Taiwanese Thai Tibetan Torres Strait Islander Tuamotu Islander Tunisian Turkish Tuvaluan Ugandan Ukrainian United States Creole Uruguayan Venezuelan Vietnamese Vietnamese Chinese Wake Islander Wallis Islander Welsh West Indian Yap Islander Yemeni Zambian Zimbabwean - Select NZ European Māori Samoan Cook Islands Māori Tongan Niuean Tokelauan Fijian Chinese Filipino Admiralty Islander Afghan African African American Afrikaner Aitutaki Islander Albanian Algerian American Anglo Indian Arab Argentinian Armenian Asian Assyrian Atiu Islander Austral Islander Australian Austrian Banaban Bangladeshi Belgian Belorussian Bengali Bhutanese Bismark Archipelagoan Bolivian Bosnian Bougainvillean Brazilian British Bulgarian Burgher Burmese Burundian Cambodian Cambodian Chinese Canadian Caroline Islander Celtic Central American Indian Chamorro Channel Islander Chilean Chin Colombian Congolese Cornish Corsican Costa Rican Croatian Cypriot Czech Dalmatian Danish Dutch Easter Islander Ecuadorian Egyptian English Eritrean Estonian Ethiopian Eurasian European Falkland Islander Fijian Indian Finnish Flemish French Gaelic Gambier Islander German Ghanaian Greek Greenlander Guadalcanalian Guatemalan Gujarati Guyanese Hawaiian Honduran Hong Kong Chinese Hungarian Icelandic Indian Indian Tamil Indigenous Australian Indonesian Inuit Iranian/Persian Iraqi Irish Israeli/Jewish Italian Jamaican Japanese Jordanian Kanak Karen Kenyan Kiribati Korean Kurd Lao Latin American Latin American Creole Latvian Lebanese Libyan Lithuanian Macedonian Malaitian Malay Malaysian Chinese Malaysian Indian Maldivian Maltese Malvinian Mangaia Islander Manihiki Islander Manus Islander Manx Marianas Islander Marquesas Islander Marshall Islander Mauke Islander Mauritian Mexican Middle Eastern Mitiaro Islander Mongolian Moroccan Nauruan Nepali New Britain Islander New Caledonian New Georgian New Irelander New Zealander Ni Vanuatu Nicaraguan Nigerian North American Indian Norwegian Not Stated Omani Orkney Islander Other African Other Asian Other British Other Chinese Other Ethnicity Other European Other Indian Other Latin American Other Middle Eastern Other Pacific Peoples Other South African Other South Slav Other Southeast Asian Other Sri Lankan Other Zimbabwean Pacific Peoples Pakistani Palau Islander Palestinian Palmerston Islander Panamanian Papua New Guinean Paraguayan Penrhyn Islander Peruvian Phoenix Islander Pitcairn Islander Polish Portuguese Puerto Rican Pukapuka Islander Punjabi Rakahanga Islander Rarotongan Romani Romanian Rotuman Russian Santa Cruz Islander Sardinian Scottish Serbian Seychellois Shetland Islander Sikh Singaporean Chinese Sinhalese Slavic Slovak Slovenian Solomon Islander Somali South African European South African Indian South American Indian South Slav Southeast Asian Spanish Sri Lankan Sri Lankan Tamil Sudanese Swedish Swiss Syrian Tahitian Taiwanese Thai Tibetan Torres Strait Islander Tuamotu Islander Tunisian Turkish Tuvaluan Ugandan Ukrainian United States Creole Uruguayan Venezuelan Vietnamese Vietnamese Chinese Wake Islander Wallis Islander Welsh West Indian Yap Islander Yemeni Zambian Zimbabwean Iwi - Select Aotea, iwi not named Don't Know Hapū affiliated to more than one iwi Hauraki / Pare Hauraki, iwi not named Hauraki Region, Iwi not named Horouta, iwi not named Kāti Māmoe Kurahaupō, iwi not named Mahuru, iwi not named Māmari, iwi not named Manawatū/Horowhenua/Te Whanganui-a-Tara Region, Iwi not named Mātaatua, iwi not named Maungaharuru Tangitū Mōkai Pātea, iwi not named Moriori Muaūpoko Muriwhenua, iwi not named Ngā Pōtiki ā Tamapahore Ngā Rauru Ngāi Tahu / Kāi Tahu Ngāi Tai (Tauranga Moana/Mātaatua) Ngāi Tai ki Tāmaki Ngāi Tai, region not known Ngāi Takoto Ngāi Tāmanuhiri Ngāi Te Ohuake (Rangitīkei) Ngāi Te Rangi Ngāpuhi Ngāpuhi ki Whaingaroa-Ngāti Kahu ki Whaingaroa Ngāruahine Ngāti Apa (Rangitīkei) Ngāti Apa ki Te Rā Tō Ngāti Apa, region not known Ngāti Awa Ngāti Hako Ngāti Haua (Taumarunui) Ngāti Haua (Waikato) Ngāti Haua, region not known Ngāti Hauiti (Rangitīkei) Ngāti Hei Ngāti Hīkairo Ngāti Hine (Te Tai Tokerau) Ngāti Hinemanu (Heretaunga) Ngāti Hinemanu (Rangitīkei) Ngāti Hinemanu, region not known Ngāti Hinerangi Ngāti Hineuru Ngāti Huarere Ngāti Kahu Ngāti Kahu ki Whangaroa Ngāti Kahungunu ki Heretaunga Ngāti Kahungunu ki Tamakinui a Rua Ngāti Kahungunu ki Tamatea Ngāti Kahungunu ki Te Wairoa Ngāti Kahungunu ki Te Whanganui-a-Orotu Ngāti Kahungunu ki Wairarapa Ngāti Kahungunu, region not known Ngāti Kauwhata Ngāti Kearoa / Ngāti Tuarā Ngāti Koata Ngāti Korokī Kahukura Ngāti Kuia Ngāti Kurī Ngāti Mākino Ngāti Manawa Ngāti Maniapoto Ngāti Manuhiri Ngāti Maru (Hauraki) Ngāti Maru (Taranaki) Ngāti Maru, region not known Ngāti Mutunga (Taranaki) Ngāti Mutunga (Wharekauri/Chatham Islands) Ngāti Mutunga, region not known Ngāti Pāhauwera Ngāti Paoa Ngāti Pikiao (Te Arawa) Ngāti Porou Ngāti Porou ki Harataunga ki Mataora Ngāti Pūkenga Ngāti Pūkenga ki Waiau Ngāti Rāhiri Tumutumu Ngāti Rākaipaaka Ngāti Rangi (Ruapehu, Whanganui) Ngāti Ranginui Ngāti Rangiteaorere (Te Arawa) Ngāti Rangitihi (Te Arawa) Ngāti Rangiwewehi (Te Arawa) Ngāti Rārua Ngāti Raukawa (Horowhenua/Manawatū) Ngāti Raukawa, region not known Ngāti Rehua Ngāti Rongomai (Te Arawa) Ngāti Ruanui Ngāti Ruapani ki Waikaremoana Ngāti Tahu-Ngāti Whaoa (Te Arawa) Ngāti Tama (Taranaki) Ngāti Tama ki Te Tauihu Ngāti Tama ki Te Upoko o Te Ika (Te Whanganui-a-Tara/Wellington) Ngāti Tama, region not known Ngāti Tamakōpiri (Rangitīkei) Ngāti Tamaoho Ngāti Tamaterā Ngāti Tara Tokanui Ngāti Tarāwhai (Te Arawa) Ngāti Te Ata Ngāti Tiipa Ngāti Toa, region not known Ngāti Toarangatira (Te Waipounamu/South Island) Ngāti Toarangatira (Te Whanganui-a-Tara/Wellington) Ngāti Torehina ki Mata-ure ō Hau Ngāti Tukorehe Ngāti Tūwharetoa (ki Taupō) Ngāti Tūwharetoa ki Kawerau Ngāti Tūwharetoa, region not known Ngāti Wai Ngāti Whakaue (Te Arawa) Ngāti Whanaunga Ngāti Whare Ngāti Whātua (not Ōrākei or Kaipara) Ngāti Whātua o Kaipara Ngāti Whātua o Ōrākei Ngāti Whitikaupeka (Rangitīkei) Ngātokimatawhaorua, iwi not named Not Stated Nukutere, iwi not named Pakakohi Patukirikiri Rangitāne (Manawatū) Rangitāne (Te Matau-a-Māui/Hawke's Bay/Wairarapa) Rangitāne (Te Waipounamu/South Island) Rangitāne o Tamaki nui ā Rua Rangitāne, region not known Raukawa (Waikato) Refused To Answer Rēkohu/Wharekauri Region, Imi/Iwi not named Rereahu Response Outside Scope Response Unidentifiable Rongomaiwahine (Te Māhia) Rongowhakaata Tainui Awhiro Tainui, iwi not named Tākitimu, iwi not named Tamahaki (Ruapehu, Waimarino) Tamakana (Ruapehu, Waimarino) Tangāhoe Tapuika (Te Arawa) Taranaki Taranaki Region, Iwi not named Tauranga Moana, iwi not named Tauranga Moana/Mātaatua Region, Iwi not named Te Aitanga ā Hauiti Te Aitanga-a-Māhaki Te Ākitai-Waiohua Te Arawa, iwi not named Te Arawa/Taupō Region, Iwi not named Te Ati Haunui-a-Pāpārangi Te Atiawa (Taranaki) Te Atiawa (Te Waipounamu/South Island) Te Atiawa (Te Whanganui-a-Tara/Wellington) Te Atiawa ki Whakarongotai Te Atiawa, region not known Te Aupōuri Te Hika o Pāpāuma Te Kawerau ā Maki Te Matau-a-Māui/Wairarapa Region, Iwi not named Te Paatu Te Rarawa Te Roroa Te Tai Rāwhiti Region, Iwi not named Te Tai Tokerau/Tāmaki-makaurau Region, Iwi not named Te Tauihu o Te Waka a Māui, iwi not named Te Upokorehe Te Uri-o-Hau Te Waipounamu Region, Iwi not named Te Whānau-ā-Apanui Tokomaru, iwi not named Tūhoe Tūhourangi (Te Arawa) Tūranganui a Kiwa, iwi not named Uenuku (Ruapehu, Waimarino) Uenuku-Kōpako (Te Arawa) Waikato Waikato/Te Rohe Pōtae Region, Iwi not named Waitaha (Te Arawa) Waitaha (Te Waipounamu/South Island) Waitaha, region not known Whakatōhea Whanganui/Rangitīkei Region, Iwi not named - Select Aotea, iwi not named Don't Know Hapū affiliated to more than one iwi Hauraki / Pare Hauraki, iwi not named Hauraki Region, Iwi not named Horouta, iwi not named Kāti Māmoe Kurahaupō, iwi not named Mahuru, iwi not named Māmari, iwi not named Manawatū/Horowhenua/Te Whanganui-a-Tara Region, Iwi not named Mātaatua, iwi not named Maungaharuru Tangitū Mōkai Pātea, iwi not named Moriori Muaūpoko Muriwhenua, iwi not named Ngā Pōtiki ā Tamapahore Ngā Rauru Ngāi Tahu / Kāi Tahu Ngāi Tai (Tauranga Moana/Mātaatua) Ngāi Tai ki Tāmaki Ngāi Tai, region not known Ngāi Takoto Ngāi Tāmanuhiri Ngāi Te Ohuake (Rangitīkei) Ngāi Te Rangi Ngāpuhi Ngāpuhi ki Whaingaroa-Ngāti Kahu ki Whaingaroa Ngāruahine Ngāti Apa (Rangitīkei) Ngāti Apa ki Te Rā Tō Ngāti Apa, region not known Ngāti Awa Ngāti Hako Ngāti Haua (Taumarunui) Ngāti Haua (Waikato) Ngāti Haua, region not known Ngāti Hauiti (Rangitīkei) Ngāti Hei Ngāti Hīkairo Ngāti Hine (Te Tai Tokerau) Ngāti Hinemanu (Heretaunga) Ngāti Hinemanu (Rangitīkei) Ngāti Hinemanu, region not known Ngāti Hinerangi Ngāti Hineuru Ngāti Huarere Ngāti Kahu Ngāti Kahu ki Whangaroa Ngāti Kahungunu ki Heretaunga Ngāti Kahungunu ki Tamakinui a Rua Ngāti Kahungunu ki Tamatea Ngāti Kahungunu ki Te Wairoa Ngāti Kahungunu ki Te Whanganui-a-Orotu Ngāti Kahungunu ki Wairarapa Ngāti Kahungunu, region not known Ngāti Kauwhata Ngāti Kearoa / Ngāti Tuarā Ngāti Koata Ngāti Korokī Kahukura Ngāti Kuia Ngāti Kurī Ngāti Mākino Ngāti Manawa Ngāti Maniapoto Ngāti Manuhiri Ngāti Maru (Hauraki) Ngāti Maru (Taranaki) Ngāti Maru, region not known Ngāti Mutunga (Taranaki) Ngāti Mutunga (Wharekauri/Chatham Islands) Ngāti Mutunga, region not known Ngāti Pāhauwera Ngāti Paoa Ngāti Pikiao (Te Arawa) Ngāti Porou Ngāti Porou ki Harataunga ki Mataora Ngāti Pūkenga Ngāti Pūkenga ki Waiau Ngāti Rāhiri Tumutumu Ngāti Rākaipaaka Ngāti Rangi (Ruapehu, Whanganui) Ngāti Ranginui Ngāti Rangiteaorere (Te Arawa) Ngāti Rangitihi (Te Arawa) Ngāti Rangiwewehi (Te Arawa) Ngāti Rārua Ngāti Raukawa (Horowhenua/Manawatū) Ngāti Raukawa, region not known Ngāti Rehua Ngāti Rongomai (Te Arawa) Ngāti Ruanui Ngāti Ruapani ki Waikaremoana Ngāti Tahu-Ngāti Whaoa (Te Arawa) Ngāti Tama (Taranaki) Ngāti Tama ki Te Tauihu Ngāti Tama ki Te Upoko o Te Ika (Te Whanganui-a-Tara/Wellington) Ngāti Tama, region not known Ngāti Tamakōpiri (Rangitīkei) Ngāti Tamaoho Ngāti Tamaterā Ngāti Tara Tokanui Ngāti Tarāwhai (Te Arawa) Ngāti Te Ata Ngāti Tiipa Ngāti Toa, region not known Ngāti Toarangatira (Te Waipounamu/South Island) Ngāti Toarangatira (Te Whanganui-a-Tara/Wellington) Ngāti Torehina ki Mata-ure ō Hau Ngāti Tukorehe Ngāti Tūwharetoa (ki Taupō) Ngāti Tūwharetoa ki Kawerau Ngāti Tūwharetoa, region not known Ngāti Wai Ngāti Whakaue (Te Arawa) Ngāti Whanaunga Ngāti Whare Ngāti Whātua (not Ōrākei or Kaipara) Ngāti Whātua o Kaipara Ngāti Whātua o Ōrākei Ngāti Whitikaupeka (Rangitīkei) Ngātokimatawhaorua, iwi not named Not Stated Nukutere, iwi not named Pakakohi Patukirikiri Rangitāne (Manawatū) Rangitāne (Te Matau-a-Māui/Hawke's Bay/Wairarapa) Rangitāne (Te Waipounamu/South Island) Rangitāne o Tamaki nui ā Rua Rangitāne, region not known Raukawa (Waikato) Refused To Answer Rēkohu/Wharekauri Region, Imi/Iwi not named Rereahu Response Outside Scope Response Unidentifiable Rongomaiwahine (Te Māhia) Rongowhakaata Tainui Awhiro Tainui, iwi not named Tākitimu, iwi not named Tamahaki (Ruapehu, Waimarino) Tamakana (Ruapehu, Waimarino) Tangāhoe Tapuika (Te Arawa) Taranaki Taranaki Region, Iwi not named Tauranga Moana, iwi not named Tauranga Moana/Mātaatua Region, Iwi not named Te Aitanga ā Hauiti Te Aitanga-a-Māhaki Te Ākitai-Waiohua Te Arawa, iwi not named Te Arawa/Taupō Region, Iwi not named Te Ati Haunui-a-Pāpārangi Te Atiawa (Taranaki) Te Atiawa (Te Waipounamu/South Island) Te Atiawa (Te Whanganui-a-Tara/Wellington) Te Atiawa ki Whakarongotai Te Atiawa, region not known Te Aupōuri Te Hika o Pāpāuma Te Kawerau ā Maki Te Matau-a-Māui/Wairarapa Region, Iwi not named Te Paatu Te Rarawa Te Roroa Te Tai Rāwhiti Region, Iwi not named Te Tai Tokerau/Tāmaki-makaurau Region, Iwi not named Te Tauihu o Te Waka a Māui, iwi not named Te Upokorehe Te Uri-o-Hau Te Waipounamu Region, Iwi not named Te Whānau-ā-Apanui Tokomaru, iwi not named Tūhoe Tūhourangi (Te Arawa) Tūranganui a Kiwa, iwi not named Uenuku (Ruapehu, Waimarino) Uenuku-Kōpako (Te Arawa) Waikato Waikato/Te Rohe Pōtae Region, Iwi not named Waitaha (Te Arawa) Waitaha (Te Waipounamu/South Island) Waitaha, region not known Whakatōhea Whanganui/Rangitīkei Region, Iwi not named - Select Aotea, iwi not named Don't Know Hapū affiliated to more than one iwi Hauraki / Pare Hauraki, iwi not named Hauraki Region, Iwi not named Horouta, iwi not named Kāti Māmoe Kurahaupō, iwi not named Mahuru, iwi not named Māmari, iwi not named Manawatū/Horowhenua/Te Whanganui-a-Tara Region, Iwi not named Mātaatua, iwi not named Maungaharuru Tangitū Mōkai Pātea, iwi not named Moriori Muaūpoko Muriwhenua, iwi not named Ngā Pōtiki ā Tamapahore Ngā Rauru Ngāi Tahu / Kāi Tahu Ngāi Tai (Tauranga Moana/Mātaatua) Ngāi Tai ki Tāmaki Ngāi Tai, region not known Ngāi Takoto Ngāi Tāmanuhiri Ngāi Te Ohuake (Rangitīkei) Ngāi Te Rangi Ngāpuhi Ngāpuhi ki Whaingaroa-Ngāti Kahu ki Whaingaroa Ngāruahine Ngāti Apa (Rangitīkei) Ngāti Apa ki Te Rā Tō Ngāti Apa, region not known Ngāti Awa Ngāti Hako Ngāti Haua (Taumarunui) Ngāti Haua (Waikato) Ngāti Haua, region not known Ngāti Hauiti (Rangitīkei) Ngāti Hei Ngāti Hīkairo Ngāti Hine (Te Tai Tokerau) Ngāti Hinemanu (Heretaunga) Ngāti Hinemanu (Rangitīkei) Ngāti Hinemanu, region not known Ngāti Hinerangi Ngāti Hineuru Ngāti Huarere Ngāti Kahu Ngāti Kahu ki Whangaroa Ngāti Kahungunu ki Heretaunga Ngāti Kahungunu ki Tamakinui a Rua Ngāti Kahungunu ki Tamatea Ngāti Kahungunu ki Te Wairoa Ngāti Kahungunu ki Te Whanganui-a-Orotu Ngāti Kahungunu ki Wairarapa Ngāti Kahungunu, region not known Ngāti Kauwhata Ngāti Kearoa / Ngāti Tuarā Ngāti Koata Ngāti Korokī Kahukura Ngāti Kuia Ngāti Kurī Ngāti Mākino Ngāti Manawa Ngāti Maniapoto Ngāti Manuhiri Ngāti Maru (Hauraki) Ngāti Maru (Taranaki) Ngāti Maru, region not known Ngāti Mutunga (Taranaki) Ngāti Mutunga (Wharekauri/Chatham Islands) Ngāti Mutunga, region not known Ngāti Pāhauwera Ngāti Paoa Ngāti Pikiao (Te Arawa) Ngāti Porou Ngāti Porou ki Harataunga ki Mataora Ngāti Pūkenga Ngāti Pūkenga ki Waiau Ngāti Rāhiri Tumutumu Ngāti Rākaipaaka Ngāti Rangi (Ruapehu, Whanganui) Ngāti Ranginui Ngāti Rangiteaorere (Te Arawa) Ngāti Rangitihi (Te Arawa) Ngāti Rangiwewehi (Te Arawa) Ngāti Rārua Ngāti Raukawa (Horowhenua/Manawatū) Ngāti Raukawa, region not known Ngāti Rehua Ngāti Rongomai (Te Arawa) Ngāti Ruanui Ngāti Ruapani ki Waikaremoana Ngāti Tahu-Ngāti Whaoa (Te Arawa) Ngāti Tama (Taranaki) Ngāti Tama ki Te Tauihu Ngāti Tama ki Te Upoko o Te Ika (Te Whanganui-a-Tara/Wellington) Ngāti Tama, region not known Ngāti Tamakōpiri (Rangitīkei) Ngāti Tamaoho Ngāti Tamaterā Ngāti Tara Tokanui Ngāti Tarāwhai (Te Arawa) Ngāti Te Ata Ngāti Tiipa Ngāti Toa, region not known Ngāti Toarangatira (Te Waipounamu/South Island) Ngāti Toarangatira (Te Whanganui-a-Tara/Wellington) Ngāti Torehina ki Mata-ure ō Hau Ngāti Tukorehe Ngāti Tūwharetoa (ki Taupō) Ngāti Tūwharetoa ki Kawerau Ngāti Tūwharetoa, region not known Ngāti Wai Ngāti Whakaue (Te Arawa) Ngāti Whanaunga Ngāti Whare Ngāti Whātua (not Ōrākei or Kaipara) Ngāti Whātua o Kaipara Ngāti Whātua o Ōrākei Ngāti Whitikaupeka (Rangitīkei) Ngātokimatawhaorua, iwi not named Not Stated Nukutere, iwi not named Pakakohi Patukirikiri Rangitāne (Manawatū) Rangitāne (Te Matau-a-Māui/Hawke's Bay/Wairarapa) Rangitāne (Te Waipounamu/South Island) Rangitāne o Tamaki nui ā Rua Rangitāne, region not known Raukawa (Waikato) Refused To Answer Rēkohu/Wharekauri Region, Imi/Iwi not named Rereahu Response Outside Scope Response Unidentifiable Rongomaiwahine (Te Māhia) Rongowhakaata Tainui Awhiro Tainui, iwi not named Tākitimu, iwi not named Tamahaki (Ruapehu, Waimarino) Tamakana (Ruapehu, Waimarino) Tangāhoe Tapuika (Te Arawa) Taranaki Taranaki Region, Iwi not named Tauranga Moana, iwi not named Tauranga Moana/Mātaatua Region, Iwi not named Te Aitanga ā Hauiti Te Aitanga-a-Māhaki Te Ākitai-Waiohua Te Arawa, iwi not named Te Arawa/Taupō Region, Iwi not named Te Ati Haunui-a-Pāpārangi Te Atiawa (Taranaki) Te Atiawa (Te Waipounamu/South Island) Te Atiawa (Te Whanganui-a-Tara/Wellington) Te Atiawa ki Whakarongotai Te Atiawa, region not known Te Aupōuri Te Hika o Pāpāuma Te Kawerau ā Maki Te Matau-a-Māui/Wairarapa Region, Iwi not named Te Paatu Te Rarawa Te Roroa Te Tai Rāwhiti Region, Iwi not named Te Tai Tokerau/Tāmaki-makaurau Region, Iwi not named Te Tauihu o Te Waka a Māui, iwi not named Te Upokorehe Te Uri-o-Hau Te Waipounamu Region, Iwi not named Te Whānau-ā-Apanui Tokomaru, iwi not named Tūhoe Tūhourangi (Te Arawa) Tūranganui a Kiwa, iwi not named Uenuku (Ruapehu, Waimarino) Uenuku-Kōpako (Te Arawa) Waikato Waikato/Te Rohe Pōtae Region, Iwi not named Waitaha (Te Arawa) Waitaha (Te Waipounamu/South Island) Waitaha, region not known Whakatōhea Whanganui/Rangitīkei Region, Iwi not named Previous School The name of the school currently being attended Residence A / Primary Contact Details* The child’s ‘Primary Residence’ is where the child mostly lives. If there is a 50/50 custody arrangement, the caregivers must decide who to list under the main residence. If caregivers live at different addresses, please tick 'Student has another residence' and enter the details for the secondary caregiver.All caregivers (primary and secondary) will be entitled to the same information and access. Caregivers are treated equally, except statements (fees) and absentee text messages, which will be sent to the primary caregiver unless other arrangements have been agreed to. Address * Please type your primary residence addresss in the above address search Flat/Unit Street number and name Rural Delivery Suburb Post Code Town/City Residence A - Caregiver 1 Full Name * Email * e.g. [email protected] Phone (Mobile) * e.g. 022 123 4567 Phone (Home) e.g. 07 123 4567 Phone (Work) e.g. 07 123 4567 Occupation e.g. Teacher at Fraser High School Relationship Relationship to the student Residence A - Caregiver 2 Name Email e.g. [email protected] Phone (Mobile) e.g. 022 123 4567 Phone (Home) e.g. 07 123 4567 Phone (Work) e.g. 07 123 4567 Occupation e.g. Teacher at Fraser High School Relationship Relationship to the student Student has another residence Please tick if the student resides at another address at times Residence B / Alternative Contact Details This is for the Secondary caregiver's address. Address * Please type your alternate residence addresss in the above address search Flat/Unit Street number and name Rural Delivery Suburb Post Code Town/City Residence B - Caregiver 1 Name e.g. Father's name Email e.g. [email protected] Phone (Home) e.g. 07 123 4567 Phone (Work) e.g. 07 123 4567 Phone (Mobile) e.g. 022 123 4567 Occupation e.g. Teacher at Fraser High School Relationship Relationship to the student Residence B - Caregiver 2 Name e.g. Step-Mother's name Email e.g. [email protected] Phone (Home) e.g. 07 123 4567 Phone (Work) e.g. 07 123 4567 Phone (Mobile) e.g. 022 123 4567 Occupation e.g. Teacher at Fraser High School Relationship Relationship to the student Health Details To enable the school to provide optimal care in the event of illness or injury, could you please complete the following details. This information will be shared with the Medical Practitioners within the school and will be entered onto the school database.For any allergies please state the reaction to the allergy.If any prescription medicines need to be given to the student at school, they will need an appointment with the school doctor to discuss this. Please email the Hauora Centre as soon as possible to make this appointment. Doctor Name Health Notes List any medical problems including hearing, allergies and diagnosed conditions Additional Support Required List any additional learning support, needs or requirements this student may have Allowed Paracetamol No 1 tablet 2 tablets Allowed Ibuprofen Yes No Emergency Contact This must be a different person to the caregivers listed above and who lives in Hamilton, preferably close to Fraser High School.Emergency contacts will not be able to contact the school and ask for information or have access to your child without your permission. We may phone emergency contacts in an urgent situation (sickness/injury) after we have been unable to reach all other caregivers provided. We will only provide information and access they require to deal with that situation. Emergency Contact 1 Contact Name * Mobile Phone * e.g. 022 123 4567 Home Phone e.g. 07 123 4567 Occupation e.g. Teacher at Fraser High School Relationship to Student * e.g. Grandmother Emergency Contact 2 Contact Name Home Phone e.g. 07 123 4567 Mobile Phone e.g. 022 123 4567 Occupation Occupation Relationship to Student e.g. Grandfather Special Interests This is optional. Academic Awards Sports Cultural/Arts Hobbies Languages Attachments This enrolment application cannot be accepted without the following:1. A copy of the students Full Birth Certificate2. A copy of the students Immunisation status3. For students born overseas, a current passport with the appropriate visa or Certificate of Citizenship. 4. Proof that you (parent, guardian, or caregiver), live within our School Zone. A recent (within the last two months) document showing your name and address, e.g. power, sky account.5. If the student is not living with their parents or legal caregivers, proof of guardianship is required (e.g. Letter from parent/guardian permitting the student to live with the person named on the enrolment form).6. Court Documents - If you have any court orders, e.g. custody, guardianship, or protection orders, please bring these documents to the enrolment interview. Attachments + Add Select only Images, PDFs or Word Documents. Maximum file size: 8MB's School Questions Does your child have any specific Learning Challenges, Mental Health Concerns, or Medical conditions that could effect their learning? Is English the your child's first Language? If your Child has a Social Worker, Redcross Volunteer or a Mentor, please provide a name and contact number here: Has your child been stood down, suspended or excluded from a school? If yes, name of school Please indicate if your child would like to be considered for the Te Kaapuia Hub. A learning environment with a Te Ao Maaori and Pasifika Focus. Please State either Hei Taniwha or Aiga Tasi. Limited spaces. Would you like School Counsellor to make an appointment with your child? Are there current siblings attending Fraser High School?- Please state full name/s Agreements Family Declaration * We agree to abide by the Values of Fraser High School as set out in the prospectus. We agree to outfit our child in the correct School Uniform at all times. We agree to allow the information on this enrolment form, associated documents, and other collected personal information, to be shared by the school, in accordance with the provisions of the Privacy Act 1993, with the Ministry of Education and the Ministry of Social Development, if required, to ensure the best interests of our child. We agree that the student’s record card and other relevant information from the previous school may be sent to Fraser High School. I agree Cybersaftey Student * I have read the Fraser High School Cyber Safety Statement and agree to abide by the rules as laid out in this document. I agree to abide by decisions made by the School and the teacher that is in charge at the time I am using the room. I agree Cybersaftery Parent / Caregiver / Guardian * I/We have read the Cyber Safety Statement and understand the intention of Internet use within the school is for educational purposes. I/We understand that Fraser High School will take all possible precautions to make the Internet as safe as possible for all users, and agree to support any action the school takes to ensure the code of conduct, as described in the policy statement, is enforced. I agree Consent to Publish (recognising and celebrating) * Fraser High School is committed to celebrating our students success. I agree that you may use my child's name, image, and work to recognise achievement and the schools values in community newsletters, school yearbook, Fraser High School's website and social media. I agree Remember me on this computer for up to 7 days Submit Enrolment Application Save Draft Once you have submitted your student's enrolment application you will receive a message saying that this enrolment has been saved. This actually means that the application has been sent. Please note that your application could be delayed if you have not attached the correct documents as listed above.A confirmation email will be sent once the application is checked. You will then be contacted by the Enrolment Officer for an enrolment interview.