This enrolment form is for Waiuku Primary School.

This is a provisional enrolment form based on the following information being provided to the school: 

Student Details

Ethnicity
Student's Address
Living Arrangements
Contact 1

This is the Primary Contact for this student.



Contact 2

This is the Secondary Contact for this student.



Contact 3

Emergency Contacts

This must be a person other than Contact 1 or Contact 2.

Medical

Please leave blank if not applicable

Please leave blank if not applicable

Please leave blank if not applicable



Pre-Schooling

Consent