Enrolment form testing

Primary Caregiver:

Entry year level

Legal last name (family name): *

Legal first name (given name): *

Preferred last | first names (if different): *

Gender

Male / Tāne

Female / Wahine

Gender Diverse / Ira tāngata

Ethnicity: Select as many that apply

Māori

Pasifika

NZ European

Other

If other, please state:

Māori students please state your iwi:

Language spoken:

Country of Citizenship:

If not a NZ citizen, do you have NZ Residency?

Yes

If not a NZ citizen, when does your visa expire?

Previous Schools?

To enrol at Greymouth High School, you must provide one of the following:

If born inside NZ

New Zealand birth certificate

New Zealand passport

If born outside NZ

Foreign birth certificate

Visa

Foreign passport

Physical address

Primary residential address:

Student mailing address (if different from above):

Siblings (optional):

Full name

Age

School

Year

Full name

Age

School

Year

Primary Caregiver:

Last name:

First name:

Relationship to student:

Phone (home):

Phone (mobile):

Email:

Address:

Employer name:

Phone (work):

Occupation:

If you are unavailable, and we need to make contact, can we discuss this student with your partner?

Yes

Secondary Caregiver:

Last name:

First name:

Relationship to student:

Phone (home):

Phone (mobile):

Email:

Address:

Employer name:

Phone (work):

Occupation:

If you are unavailable, and we need to make contact, can we discuss this student with your partner?

Yes

Primary Caregiver 2:

Partners Phone (work):

Partners Phone (mobile):

Partners Email:

Employer name:

Occupation:

Do you want to receive Newsletters, Weekly Notes & invoices on this email?

Yes

Secondary Caregiver 2:

Partners Phone (work):

Partners Phone (mobile):

Partners Email:

Employer name:

Occupation:

Do you want to receive Newsletters, Weekly Notes & invoices on this email?

Yes

Please provide details of any legal custody/access issues the school needs to be aware of:

Emergency Contact Person

We will always try to contact the carer named above first, however, should we be unable to do so, we require the name of an emergency contact person who is not named above e.g. a grandparent, aunt or uncle, friend, neighbour, or another trusted person. This person will not routinely be sent school information.

First name (given name):

Last name (family name):

Relationship to student:

Address:

Phone (home):

Phone (work):

Medical Information

Name of Doctor:

Name of Medial Centre:

Dentist name:

Can your child be given Panadol & Ibuprofen at school?

Yes

Is your child up-to-date with immunisations?

Yes

Does your child require medication at school?

Yes

If yes, please provide details:

Medical Conditions

Does your child have any medical conditions/allergies?

Yes

Condition:

Severity:

Medication:

Condition:

Severity:

Medication:

Please provide any other medical details:

Extra Learning Assistance

Has your child received extra support for learning at previous schools?

Yes

Details of extra learning support (eg ESL, RTLB, reading recovery):

Does your child have a specialist report (psychologist, literacy assessor etc.)?

Yes

Report details (please provide a copy):

Please provide any other details we need to be aware of, eg is your child boarding, other needs, language difficulties etc?

Bus Transport

Will this student be travelling by bus?

Yes

Emergency Bus Billet

Please provide details of a person located in town who we can contact if buses are not operating:

First name (given name):

Last name (family name):

Address:

Phone (work):

Phone (mobile):

Please select the bus route student will use:

Kumara

Dobson

Rotomanu

Camerons

Punakaiki

Runanga

Paroa

Blackball

Totara Flat

Cobden

Nelson Creek

Will this student be dropped off at the door or within walking distance of home?

Yes

If No, provide details of where student will be dropped:

How will they get home from there?:

Please explain any other relevant bus transport information

Privacy Act

Information contained in this form will not be released to any unauthorised person or agency (as detailed in the Privacy Act).

Parental Consent for School Publications

I understand that photographs taken by the school may be used to promote the school in various publications including the school website and Facebook page and agree that my child’s photograph may be used for this purpose.

I give consent for my child’s photograph to be used

Yes

Education Outside the Classroom Consent at Enrolment

I/ We agree to the participation of my/ our child in Education Outside the Classroom (EOTC) and sport activities / events while a student at Greymouth High School.

Yes

We have provided the school with up to date medical, supervision and learning information through the enrolment form, and will make every endeavour to keep this information current.

Yes

I/ we wish to raise the following concerns about my/our child’s involvement in sport/ EOTC

Chromebooks

Does your child come from a Toki Pounamu School?

Yes

Do you need to purchase a Chromebook?

Yes

Parents Association

Our role is to

Support student activities at our school
Support school activities
Organise activities to raise funds

The Parents’ Association meets on the first Wednesday of each month during term time. Meetings are informative and include a report from the Principal about the school. These meetings are advertised in the school Newsletter.

We welcome your involvement.

I would like to be involved and know more about the GHS Parents’ Association

Yes

Parents/Caregiver Financial Responsibility

The funding received by schools only provides for the basic curriculum delivery. We pride ourselves by offering enhanced learning opportunities for all students. To allow this we rely on contributions from parents/caregivers. These contributions are detailed in the course outlines and on the stationery lists.

I/We agree to pay any reasonable costs that the school may incur from loss or damage to school resources or property caused by your child.

Yes

To take ownership of any end product in Technology subjects I/We agree to pay associated costs as outlined in the course/options handbook.

Yes

I/We agree to pay for costs relating to activities or events that are not essential to teaching the curriculum. I understand that I/we will be advised of any associated cost before we agree to participation in any extra-curricular activity or event.

Yes

School philosophy and Standards: Partnership

Our community has high expectations for our staff and students. To achieve the best possible learning for our students, we need to work in partnership: Board, Staff, Parents, and Students. We ask parents/caregivers and the enrolling student to commit to and sign the following statement in support of the Partnership.

As parent/s or caregiver/s of a student at Greymouth High School, I/we accept the Values of the school that have been established by the Greymouth High School Board of Trustees (see below) and behavioural expectations and rules that support the Values.

I/we acknowledge that these Values are in place to support all students to achieve as per the school’s Vision (see below).

I/we are aware that the details of the student uniform and personal appearance are published in the Parent's Guide and the and that these will be adhered to.

School behaviour standards are stated in the Parents’ Guide, the Student Handbook and in posters in many parts of the school. School routines are published in the Student Handbook and Behaviour Management System.

Responsible Use Agreement for Cell Phones and Digital Devices

Conditions of Use

I will comply with the school rules regarding cell phone use. I understand that my cell phone must be turned off or silent and must be placed in the class box provided or my bag at the start of each lesson. I understand that if a cell phone is used in class it will be confiscated for the day and I will not be allowed to collect it until after 3.05 pm from the student office. I understand the consequences of inappropriate use of a cell phone.

I agree that I will:

Respect others, use appropriate language at all times, and not slander or defame anyone.
Not disclose personal information about anyone using my cell phone. This includes disclosing a person’s real name, telephone number, address, or any other information which could be used against them.
Not be in possession of, send, access, or store any material that is obscene or offensive or inappropriate.
Use the cell phone responsibly and at the agreed times.
Not use my cell phone to send false information.
Respect the privacy of communications belonging to others.
Not use my cell phone to send messages that bully or harass other students or pass on defamatory information about others.
Not download inappropriate material from the Internet to a cell phone.
Report any security problems regarding the use of a cell phone to a teacher.
Be responsible for the security of the phone during the school day.
Ensure that if I lend my cell phone to someone else that I will take responsibility for the appropriate use of it.

I agree to all of the above stated rules and I acknowledge that any breach of the rules will result in the cell phone being confiscated and/or this Responsible Use Agreement being cancelled.

Yes

Student Signature:

Date:

Parent/Guardian Signature:

Date: