Online Enrolment

IMPORTANT

Please ensure you have signed and dated this form.  Signing your name on this digital enrolment requires you to type your name in the space at the end. Your typed name equates to your signature. 

Please also ensure you have attached your childs birth certificate.

If a question is not relevant to you then put N/A - anything not filled or uploaded that is required will prevent this form from sending.

Please fill out seperate forms for each child you wish to enrole.

Student Details

Date of Birth *

Birth Certificate *

Residency/Citizenship *

Yes No

Will this student be taking the school van? *

Yes No

Caregiver Details

Primary Caregiver

Title *

Mr Mrs Ms Dr

Primary Caregivers' Relationship to the Child *

Mother Father Grandparent Other - Please specify in next field

Secondary Caregiver

Title *

Mr Mrs Ms Dr

Secondary Caregivers' Relationship to the Child *

Mother Father Grandparent Other - please specify in the next field

Emergency Contact

Please supply an alternative contact to the Caregivers in case we are unable to reach them in an emergency

Custodial Issues

Are there any custodial issues the school should be aware of?

Yes No

Early Childhood/Kōhanga Reo Details

Was ECE regularly attended. *

Yes - specify how long for in the next question Not regularly, only occasionally No, did not attend ECE

Did the child attend an ECE service in the six months prior to school? If yes please answer the questions that follow.

Yes No

Please state the number of hours per week, for up to three services.

Medical/Health Details

Has your child had a Before School Check?

Yes No

Does the child have any physical or medical conditions? (e.g. Ashma)

Yes No

Does your child have any allergies

Yes No

Please attach any other information about the student you feel the school should know about.

Privacy Statement

The information collected within this form will be used by Te Kura o Mangateretere for their enrolment and it forms an essential part of the information on your child, held by the school. Any records made from this information may be viewed at on request by the school. The information collected in this form, may be disclosed to appropriate education, health and welfare authorities, in accordance with the principles of the Privacy Act. None of this information will be disclosed to any other person or agency unless such disclosure is authorised or required by law.

Parent/Caregiver's Approvals.

I agree that the school will act on your behalf, in the case of a sudden illness or injury, to abide by Te Kura o Mangateretere's policies

Yes No

I give consent for my child's image and work to be used in accordance with the school's online publishing policy.

Yes No

I give consent for my child to use the internet for school work purposes.

Yes No

I give consent for my child’s information to be shared with the dentist and that the dentist may contact the parent or send forms home for future dental appointments.

Yes No

Te Kura o Mangateretere may forward my child’s name and address onto any potential secondary schools. (Year 8 only)

Yes No

Nurses

I give consent for the following nurses to check my child:

Choices - Tuesday Visits

Yes No

HBDHB - Thursday Visits

Yes No

Hearing and Vision

Yes No

Signed

Date Signed *

Proposed Entry Date *

ICT Information - Please Read this and sign the appropriate DECLATRATIONS

Personal Digital Devices

A personal digital device is any privately owned digital device that is not part of a school-approved bring your own device (BYOD) programme. This includes cell phones, smartwatches, tablets, laptops, handheld PCs and consoles, portable music players, e-readers, and other similar devices.

Te Kura o Mangateretere does not recommend that students bring personal digital devices to school. These are not necessary to have during the day. However, we understand that some parents like their children to have a device to communicate with them after school.

If a student does bring a personal digital device to school, the following guidelines apply:

• Students must hand their device into the office at the beginning of the day and can collect the device at the end of the day.
• The school does not accept responsibility for lost, damaged, or stolen personal digital devices.
• If personal digital devices are used for a learning activity, this will be at the teacher's discretion, and their use is supervised by school staff.

Inappropriate Use

If a student is observed using a personal digital device inappropriately, the student must hand it to a staff member immediately when asked. If possible, students should lock their device before handing it to staff. The device will be kept in the office and can be collected by the student at the end of the day.

Inappropriate use of a personal digital device may include:

• using the device when not permitted
• any sort of bullying, including online bullying, e.g. disrespectful messages about staff or other students
• taking photos or videos of other people without their permission
• forwarding inappropriate messages or content.

Inappropriate use of a personal digital device is dealt with through the school's behaviour management, responding to digital incidents, and surrender and retention of digital devices guidelines, as appropriate.

Online Bullying

Online bullying Incidents of online bullying or harm will not be tolerated at our school. If you or somebody else is being bullied or harmed online, it’s never okay at any time. This type of harm doesn’t usually just go away. It’s important to keep the evidence of what is happening to you or someone so this can be investigated. Don’t put yourself at further risk by continuing any contact with the person or people who are bullying online, or creating harmful or hurtful content. It’s very important to let someone at school (i.e. your teacher or office staff) know what’s happening so you can get the right help and support you need. You should also consider talking to a trusted adult like your parent, your whānau or guardian for support.

Online Safety

Online safety support Netsafe is an online safety organisation that is also available to help. They provide free confidential advice seven days a week for all online safety challenges. They can be contacted on 0508 638723 or online at https://www.netsafe.org.nz

Student DECLARATION - please make sure your child understands this.

I am aware of the expectations, behaviours and values required of me when I use digital technologies at school, any online tools and platforms, and the school’s systems and network.

I understand these apply to all devices used at school whether they are owned by school or if it is my personal device.

 I understand I have the right to use and experience online environments and digital technologies in positive ways and that others do also. With these rights, come responsibilities.

 I understand and agree to support and uphold these expectations and responsibilities outlined in this agreement.

 I know that if my actions or behaviours do not align with the User Agreement there may be consequences. This may include the loss of access to the internet on school owned devices or personally owned device used at school.

Date *

Parent/Whānau/Guardian DECLARATION

I understand that if my Child bahaves or acts in ways that do not align with those detailed in the ICT User Agreement there may be consequences which the school will talk to me about.

Yes

Date

Attach Pepeha Sheet Here.