Enrol (Pre-School)

Child Information

Child's Details

First Name *

Middle Name(s)

Last Name *

Preferred Name

Date Of Birth *

Gender *

Ethnic group *

Iwi *

Languages *

Upload Documents

Documents

Identity verification document *

E.g. NZ Birth Certificate, Overseas Birth Certificates, NZ Passport, Overseas Passport (Max Upload Size: 5MB)

File name:

File size:

Recent photo *

Please upload a recent photograph of your daughter. (Max Upload Size: 5MB)

File name:

File size:

Parent / Caregiver Information

Parents / Caregivers

1	First Name * Last Name * Preferred Name Relationship to child * Phone * Work Phone Home Phone Email * Physical Address * Suburb * City * Postcode * Child's primary residential address * Yes No
1	First Name * Last Name * Preferred Name Relationship to child * Phone * Work Phone Home Phone Email * Physical Address * Suburb * City * Postcode * Child's primary residential address * Yes No

Add another parent/caregiver

Custodial Statement

Are there any custodial arrangements concerning your child? *

Court orders *

Please give details of any custodial arrangements or court orders

Relevant document *

A copy of any court order is required (Max Upload Size: 8MB)

File name:

File size:

Enrolment Information

Enrolment Details

Enrolment Days

Please select the days and times you'd like to enrol your child for ECE

1	Day * Hours *
1	Day * Hours *

Add Day

Is your child receiving 20 Hours ECE for up to six hours per day, 20 hours per week at this service? *

Is your child receiving 20 Hours ECE at any other service? *

Dual Enrolment Declaration *

I hereby declare that my child is/is not enrolled at another early childhood institution at the same times that he/she is enrolled at St Margaret’s College Pre-School.

Date of enrolment *

Date of entry *

Appeal *

Why does St Margaret’s Pre-school appeal to your family? Please tell us about your child’s strengths, interests and preferences*

Please note:

20 Hours ECE is up to six hours per day, up to 20 hours per week and there must be no compulsory fees when a child is receiving 20 Hours ECE funding.

Fees

Person responsible for payment of fees

Parent/Caregiver 1

Parent/Caregiver 2

Parent/Caregiver 1

Parent/Caregiver 3

Parent/Caregiver 1

Other

Other Information

Please enter the information of this person

First Name *

Last Name *

Phone *

Email *

Physical Address *

Suburb *

City *

Postcode *

Privacy Information

Privacy Agreement

Photo/Video:

Photographs and videos are regularly used as a means of recording children’s learning, for assessment and planning, and for marketing purposes. Please indicate your agreement for the use of images as detailed below.

I agree that my child:

May be photographed for the purpose of assessment and planning and those photographs and/or videos be used in my child’s profile book or portfolio within the Pre-school environment. *

May have his or her work and/or photograph or videoed image published on the Pre-School or School website. *

May be included in photographs or videos selected by us for promotional material. *

May be selected by the media as part of items broadcast either in print/radio or electronic mediums. *

Privacy Statement

We are collecting personal information on this enrolment form for the purposes of providing early childhood education for your child. We will use and disclose your child’s information only in accordance with the Privacy Act 1993. Under that Act you have the right to access and request correction of any personal information we hold about you or your child.

Personal information about your child collected on this enrolment form is shared with the Ministry of Education who store it securely and treat it in accordance with the Privacy Act 2020. Information is disclosed to the Ministry:
– for funding allocation purposes
– for monitoring purposes
– to allow the assignment of a National Student Number* to your child, and
– to allow the Ministry or Secretary of Education to exercise any of their other powers or responsibilities under the Education and Training Act 2020, and as permitted by Privacy Principles 10 and 11.

Completed forms may also be viewed by Ministry officials on request for the purposes of monitoring and licensing.

Policy Information

Policy Statement

St Margaret’s College Pre-School has a number of policies that set out the procedures that are in place for the care and education of the children who attend. We strongly urge you to read these. The signing of this enrolment agreement form indicates that you will abide by the policies of this service, and understand how you can have input to policy review.

Parent Declaration *

I declare that all the above information is true and correct to the best of my knowledge