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