Enrolment -

If you have any questions, please email [email protected]

Enrolment Information

Intended Start Date *

Day

Month

Year

Start Year Level

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. Please note, reports and awards will always be in the legal name.

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

Month

Year

Gender

Select gender

Country of Birth *

Country or Jurisdiction of Citizenship *

Language Spoken at home *

Ethnicity * Select up to three options

Iwi

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 and determines whether the child is living in or out of zone. If there is a 50/50 custody arrangement, the caregivers must decide who to list under the main residence.

Primary Caregiver 1 and Primary Caregiver 2 means both live at the same address.

If caregivers live at a different address, 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 absences txt messages will be sent to the primary caregiver and it is likely we will try contacting the primary caregiver before the secondary caregiver.

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. 09 123 4567

Phone (Work)

e.g. 09 123 4567

Occupation

e.g. Teacher at Mahurangi College Portal

Relationship

Relationship to the student

Residence A - Caregiver 2

Name

e.g. [email protected]

Phone (Mobile)

e.g. 022 123 4567

Phone (Home)

e.g. 09 123 4567

Phone (Work)

e.g. 09 123 4567

Occupation

e.g. Teacher at Mahurangi College Portal

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

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

e.g. [email protected]

Phone (Home)

e.g. 09 123 4567

Phone (Work)

e.g. 09 123 4567

Phone (Mobile)

e.g. 022 123 4567

Occupation

e.g. Teacher at Mahurangi College Portal

Relationship

Relationship to the student

Residence B - Caregiver 2

Name

e.g. Step-Mother's name

e.g. [email protected]

Phone (Home)

e.g. 09 123 4567

Phone (Work)

e.g. 09 123 4567

Phone (Mobile)

e.g. 022 123 4567

Occupation

e.g. Teacher at Mahurangi College Portal

Relationship

Relationship to the student

Health Details

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

1 tablet

2 tablets

Allowed Ibuprofen

Yes

Emergency Contact

This must be a different person to the caregivers listed above.

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. 09 123 4567

Occupation

e.g. Teacher at Mahurangi College Portal

Relationship to Student *

e.g. Grandmother

Emergency Contact 2

Contact Name

Home Phone

e.g. 09 123 4567

Mobile Phone

e.g. 022 123 4567

Occupation

Relationship to Student

e.g. Grandfather

Attachments

Please attach all requested documents here.

IMPORTANT NOTE: Please ensure that the file name does not contain any spaces and files are uploaded as an image, PDF or word document.

Attachments

Select only Images, PDFs or Word Documents.
Maximum file size: 8MB's

School Questions

Please provide any information relating to the caregiver situation eg. Custody Order, Trespass Order, Parenting Order etc. Please upload these documents or email them to

Please enter the full name, year level and whānau (if known) of any siblings currently attending or previously attended: *

Please list any agencies your child has been involved with during their schooling (from Year 0) e.g. Oranga Tamariki, Marinoto, Ministry of Education (eg ORRS, HLN), Northern Health School, RTLB, Teacher Aide. All information provided will be in confidence and used for the purpose of supporting your child’s progress.

If your child requires English Language Support (ESOL), please enter YES here

If you have not provided evidence of immunisation, in the case of an epidemic (e.g. measles) your child may not be able to attend school for a minimum of 14 days after the last reported case or as advised by the Ministry of Health. If you choose not to immunise your child, please enter NOT vaccinated here:

If you are applying out-of-zone, please enter the priority that applies to your child along with the names of any parent/sibling involved and the year they attended Mahurangi College (we may require evidence of attendance if it was more than 7 years ago). First Priority - will be given to applicants who are siblings of current students. Second Priority - will be given to applicants who are siblings of former students. Third Priority - will be given to applicants who are children of a former student of the school. Fourth Priority - will be given to applicants who are children of a Board employee. Fifth Priority - will be given to all other applicants.

Has your child ever been stood down or suspended? Enter Yes / No * If yes please provide more information i.e. school and reason for standown or suspension.

Bus Consent in an Emergency or Severe Weather event:

Please read this agreement whether you regularly catch a bus or not.

In the event of a National State of Emergency or Severe Weather event where the school has to act
quickly to get bus students home safely. This consent gives us clear direction of what you would like
the school to do with your child. Please note: We will also take direction from the bus company to ensure the health and safety aspect is of utmost importance. If it is unsafe for the buses to travel by road, all children will remain at school for parents/caregivers to collect. Information will be communicated via email,
Skool Loop, Text & Facebook.

Please select only ONE option: i.e. 1, 2, or 3 and write in box provided below:

1. I instruct the school to send my child home on their regular bus early, if such an event occurs.

2. I would like my child to remain at school and I will follow the instructions from the school
regarding the procedure to collect.

3. My child does NOT travel by bus and agree my child will remain at school and I will follow the instructions from the school regarding the procedure to collect. *

Remember me on this computer for up to 7 days