| Your Email: |
|
| Term: |
|
| Year: |
|
| Family name of applicant: |
|
| First names: |
|
| Date of birth: |
|
| Country of Birth: |
|
| Citizenship: |
|
| Home Address: |
|
| Telephone: |
|
| Ethnicity: |
|
| IWI (only if applicable): |
|
| Other Languages spoken: |
|
| Gender: |
|
| Previously Education(incl Early Childhood education): |
|
| Year/class: |
|
| Date of leaving: |
|
| Reason for leaving last school: |
|
| Full Name of Father/Guardian: |
|
| His Address: |
|
| His Employment: |
|
| Full Name of Mother/Guardian: |
|
| Her Address: |
|
| Her Employment: |
|
| Other Children in Family(include name and age): |
|
| 1st Emergency Contact: |
|
| 2nd Emergency Contact: |
|
| Church attended: |
|
| Minister/Pastor: |
|
| Church Contact Number: |
|
| May we contact your Minister or other similar persons for a reference?: |
|
| Family Doctor: |
|
| Doctor contact number: |
|
| Does your child have any physical disabilities allergies or any other condition?: |
|
| If yes please explain the medical condition: |
|
| Tetanus: |
Yes
No |
| Rubella: |
Yes
No |
| Hepatitis: |
Yes
No |
| Has your Child ever had any disciplinary difficulties?: |
|
| Are there any other agencies involved with your child?: |
|
| Does your child have any special teaching or behavioural needs?: |
|
| Please state your childs particular interests and hobbies: |
|
| How did you come to hear about Sonrise Christian School?: |
|
| What are your reasons for selecting Sonrise Christian School?: |
|
| Do you have a child's name down for any other school at the moment?: |
Yes
No |
| Who will be responsible for the fees?: |
|
| |