This enrolment form is for Kauri Flats School.

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

Please note that your child's enrolment cannot be processed until we receive the appropriate documentation listed below.  Our office is open between the hours of 8.00am to 3.45pm for these documents to be sighted and processed by our Administration Manager.

Under Section 15 sub-section 240 (1) of the Crimes Amendment Act 2003, providing false and incorrect information constitutes obtaining by deception a benefit by making false representation intended to deceive. The information you provide must be true and correct and you acknowledge, by signing any of our enrolment forms, that you understand the implications of fraudulently providing false details.

Student Details

Ethnicity
Student's Address
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 indicate if this student has any specific medical conditions.

Please indicate if this student has any specific medical treatments.