Online Enrolment Form
Student Details
Family Name
First Name
Middle Name/s
Boy
Girl
Birth date
Address:
Home phone
Student School History
Previous school
(if any)
Previous school address
Current class/year level
Previous dental clinic (if any)
Previous Kindergarten / Playcentre / Te Kohanga Reo
Caregiver Details
Caregiver 1
Caregiver 2
Title
Title
Family Name
Family Name
First Name
First Name
Relationship to child
Relationship to child
Living with child
Living with child
