Online Enrolment Form

Student Information

Please Note: a copy of either a birth certificate or passport is also required for enrolment.

First Names

Surname

Date of Birth

Current Age

Current Year Level

Current School

Student's Mobile Number

Gender

Male

Female

Student's Address

Proof of "normal place of residence" under Section 110A of the Education Act 1989 is required on enrolment and should be uploaded at the bottom of this form; we require your power account (both sides), and copy of rental agreement if renting. The address given at the time of application for enrolment must be the student's permanent, normal place of residence when the school is open for instruction.

Please include Emergency Rapid Number for rural addresses where applicable

Reply To Email

Where the Student Lives

The student lives with

Both parents (at the same address)

Mother only

Father only

Both Parents (shared care)

Legal guardian

Mother's Details

Full Name

Occupation

Address

Email Address

Home Phone

Work Phone

Mobile Phone

Father's Details

Full Name

Occupation

Address

Email Address

Home Phone

Work Phone

Mobile Phone

Guardian's Details

Full Name

Occupation

Address

Email Address

Home Phone

Work Phone

Mobile Phone

Ethnicity / Language Information

Ethnic Group

Please tick any that apply

NZ European

Pacific Islander

Maori

Other

Please specify Iwi affiliations

Please specify Pacific Islander ethnicity

Please specify ethnicity

First Language

English

Other

Please specify first language

Family Association with Hargest

Brothers / Sisters currently attending

Brothers / Sisters who attended in past

Parents who attended in past

Family association with a House

If known, please select one

Thomson

Watson

Menzies

Hamilton

Medical / Emergency

Health Information

e.g. medical conditions, disabilities (if likely to affect progress in school work or participation in physical activities. Please state restrictions)

Permission to administer mild pain relief

I give permission for mild pain relief to be administered, if needed

Emergency Contacts

Emergency Contact 1

Phone (day)

Phone (mobile)

Emergency Contact 2

Phone (day)

Phone (mobile)

Activities / Hobbies

Which sports / cultural activities / hobbies are you interested in

Conditions of Enrolment

I understand the school may use photographs/videos of my child for the purpose of publications and websites, including but not limited to, school marketing promotions and celebrating student successes

I Agree

Application for the enrolment indicates student and caregivers' acceptance of, and support for our school values and rules as outlined in the Prospectus and accompanying Handbook

I Agree

I confirm that the information given in this form is true and correct

I Agree

Name of Student

Date

Student Signature

Signed

Name of Parent

Date

Parent Signature

Signed

Enrolment Attachments

Document Uploader

Please upload proof of "normal place of residence" in the form of a power bill and copy of your rental agreement (if renting). A copy of either a birth certificate or passport is also required for enrolment.

The following file types can be uploaded: PDF, Word Docs (DOC, DOCX), PowerPoint Presentations (PPS, PPT, PPSX, PPTX) and Images (JPG,PNG)

Uploaded Files

No files currently uploaded

Have you attached the following?

A copy of student's birth certificate (New Zealand citizen only) OR; A copy of student's passport (New Zealand / Australian citizen)

Yes

A copy of student's visa AND a parent's work visa (non-New Zealand citizens only).

Yes

If your application is IN-ZONE, have you attached your power account (both sides) as proof of residence document?

Yes

Online Enrolment Form

Application for Enrolment

Junior Campus

Senior Campus

Enrolment Closing Date

Student Information

Where the Student Lives

Mother's Details

Father's Details

Guardian's Details

Ethnicity / Language Information

Family Association with Hargest

Medical / Emergency

Emergency Contacts

Activities / Hobbies

Conditions of Enrolment

Enrolment Attachments

Have you attached the following?