ADMISSIONS – Ongata Royal

First Name*

Last Name*

Class/Grade*

Residential Address 1*

Residential Address 2

Town / City

Postcode

First Name*

Last Name*

ID Number*

Phone*

Email*

Occupation*

First Name*

Last Name*

ID Number*

Email*

Phone*

Occupation*

Separator

How did you hear about us?

Child's Medical Alert

Separator

First Name

Last Name

ID Number

Phone

Separator

Special Needs

Additional Information

Separator

Pediatrician's Name

Pediatrician's Phone Number

Insurance Company

Policy Number

Permissions*

I have read and accepted the schools terms and policies.*

I AGREE for my child to be photographed and photos to be displayed

I will complete and return the following before my child enrolls: