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for office use room year enrolment form for name date of birth /

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enrolment form please complete the enrolment form and hand it in with the following documents attached birth certificate immunisation record plunket book proof of address power bill tenancy agreement etc cyber safety agreement photo will be taken at school pupil details last name preferred name if different from first name gender male female please circle one first name middle name date of birth please supply a copy of birth certificate current year level or or new entrant previous school s name name of pre-school number of years at pre-school parents caregivers details caregiver 1 caregiver 2 number of hours at pre-school title mr mrs ms miss title surname mr mrs ms miss surname first name relationship to student address postcode first name relationship to student address if different from caregiver 1 postcode home phone mobile phone occupation employer work phone e-mail emergency contact details emergency contact 1 home phone if different from caregiver 1 mobile phone occupation employer work phone e-mail title mr mrs ms miss emergency contact 2 title mr mrs ms miss surname first name relationship to student home phone mobile phone surname first name relationship to student home phone mobile phone:

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ethnicity immigration status nz maori iwi affiliation 1 nz maori only 2 3 samoan other asian other languages spoken british other nz european indian first language is the child a nz citizen is the child a nz resident date of entry into nz general information yes yes tongan chinese no no country of birth please present passport with residency permit are there any other children in your family likely to attend golden sands school name name name yes no date of birth date of birth date of birth names of any person forbidden by law to have access to your child please provide a copy of the legal document pertaining to this are there any family circumstances we should be aware of all information provided will be kept strictly confidential does your child have any special needs or behavioural needs we should be aware of medical health family doctor medical centre does your child have any medical conditions no yes if yes please provide details phone number does your child have any allergies no yes if yes please provide details is your child on any medication no yes if yes please provide details:

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communication permissions our main form of communication is electronically through e-mail or the school website would you like yes to receive the weekly newsletter and notices by e-mail if yes what is your preferred e-mail address i give permission for first aid staff to administer recommended dosage of panadol if the need arise yes i give permission for my child to be seen by the dental therapist i give permission for my child to be seen by the hearing vision technician i give permission for my child to be seen by the public health nurse are you happy to have the school administer sunscreen and basic first aid to your child yes yes yes yes no no no no no no no no no no no are you happy for your name phone number to go on the school list for the friends of golden sands yes school frogss and for the board of trustees to contact you does your child have your permission to go on walks around the local school environment and to the beach with their class and teacher looking at items of interest yes are you happy for your child s photography or artwork to be used on the school website or any other yes information documents including publicity i accept responsibility for any expenses incurred in obtaining treatment for my child in an emergency situation i am happy for my child to use the school internet and e-mail as a tool for their learning please complete the cyber safety agreement included in the enrolment pack yes yes school donation fees our board of trustees has set our annual fees as follows donation $60.00 shows events fee $30.00 donations are tax deductible all donations will help purchase student learning tools these will be identified each year for parent information parent caregiver declaration consent under the privacy act 1993 and declaration by parents guardians to the best of my knowledge the information contained in this enrolment form is true and correct if the information is found to be false the school reserves the right to remove your child i acknowledge that the information contained in this enrolment form may be used by the school for dissemination to other institutions regarding the progress of my child i agree that golden sands school may obtain my child s records on my behalf name of parent guardian signature date /

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student enrolment information name of student name of person completing this form what interests does your child have what areas can golden sands school help with what aspects of schooling does your child enjoy what are your expectations for your child at golden sands school would you like someone from the school leadership team to contact you what is the best way and time for us to get in touch yes no any other information our school needs to know to be able to help ie learning concerns social

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information for children to complete we ask that this section is completed by the child enrolling to help us make golden sands school a great place for learning and growing together if your child cannot write yet please ask them the questions and complete it on their behalf my name is my birthday is my address is i like to i am good at i would like to be better at is there anything you would like to know about our school thank you very much for filling in this information sheet we will use it to help you do exciting things at your new school ­ golden sands school!

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parent questionnaire for year 0 ­ 2 children only this form is designed to provide information for teachers about the special interest and capabilities of students as perceived by their parents/caregivers information about pre-school activities can help teachers to better understand and provide for the needs of the children within their classrooms name of student infancy as an infant at what age did your child reach the following milestones crawled walked talked in single words phrases sentences approximately how much sleep did your child require at 3 months of age additional comments you would like to add hours d.o.b year level childhood how does your child rate on the following characteristics i feel my child is fascinated with books maps road signs is interested in time numbers patterns has keen power of observation is curious asks many questions has an excellent memory and recall of knowledge has a well-developed sense of humour has effective problem solving skills shows abstract reasoning has the ability to generalise has advanced interest in moral issues shows enjoyment in and speed of learning seldom sometimes often consistently

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additional information 1 list any early childhood education your child has had what are your child s strengths e.g academic sporting cultural 2 what do you most admire about your child e.g personality characteristics what area do you find most difficult with your child optional to answer 3 list any out-of-school activities that your child is involved in 4 if your child could pursue any interest or passion in the world without regard to cost time or other constraints what would it be and why e.g collections characters from books/tv natural world construction the arts dance drama art music etc 5 has your child had any intervention with regards to behaviour learning needs and abilities please explain in detail i agree that this information can be shared with any educational professional who has dealings with my child during the time at golden sands school your insight is greatly appreciated parent/caregiver signature date /

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parent questionnaire for year 3 6 children only please answer the following questions for each of your children form year 3 upwards and feel free to add additional comments or pages name of student characteristics how does your child rate on the following characteristics i feel my child critical thinking learns rapidly grasping underlying principals recalls a wide general and/or subject specific knowledge displays logical and well thought-out reasoning is an avid reader and/or writer with advanced vocabulary seeks to discover the why and how of things enjoys intellectual challenges creative thinking displays curiosity asks searching questions generates many original and novel ideas has a keen sense of humour and often sees humour in situations that other don t is persistent and shows determination is a high risk taker is non-conforming does not fear being different caring thinking is concerned about truth equity and fair play often challenging decisions shows concern for and is sensitive to others is passionate about humanitarian issues e.g war starvation is a visionary is able to see merit/value in things/ideas for its own sake rarely sometimes often consistently rarely sometimes often consistently rarely sometimes often consistently d.o.b year level

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additional information 1 list any early childhood education your child has had what are your child s strengths e.g academic sporting cultural 2 what do you most admire about your child e.g personality characteristics what area do you find most difficult with your child optional to answer 3 list any out-of-school activities that your child is involved in 4 if your child could pursue any interest or passion in the world without regard to cost time or other constraints what would it be and why e.g collections characters from books/tv natural world construction the arts dance drama art music etc 5 has your child had any intervention with regards to behaviour learning needs and abilities please explain in detail i agree that this information can be shared with any educational professional who has dealings with my child during the time at golden sands school your insight is greatly appreciated parent/caregiver signature date /

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would you like to help we will need your help to make our school a great place for learning do you or members of your family have any skills that could be helpful around the school or would you like to help us in any of the areas listed below please fill out their names and contact details and tick the areas where they would like to help math resources laminating shelving books issuing library books administration pe shed sports games help reading/writing handyman jobs blow vacuuming sweeping name contact details general is there any further comments or information you would like the school to know do you have any reports or records from your child s school if so please attach yes other please list no thank you for completing the enrolment form

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for office use only enrolment number date started at gss entered on sms photo taken entered on enrol statement room ultranet username first transition visit year pe pass nsn library user

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