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1 INFORMATION
2 STUDENT DETAILS
3 PARENT/CAREGIVER DETAILS
4 Medical Info
5 STATEMENT OF AUTHENTICITY OF WORK
6 Permission Slip
7 SUBMIT
NGA PUNA O WAIOREA ENROLMENT PACK FOR 2019
Documentation requirements for all Year 9, 10, 11, 12 & 13 Enrolments.
  • Enrolment Application Administration & Health Information [Parent/Caregiver to complete]
  • Statement of Authenticity of Work All Students & Parent/Caregivers please read document and sign
  • Computing/Cyber Safety Student Use Agreement All Students & Parent/Caregivers please read document and sign
  • Permission Slip Please read, complete and sign the form.
  • Science Permission Slip (For Y9 Students Only) Please read, complete and sign the form.
  • Dental Enrolment Form Optional to all new students.  If you wish your child to participate please read, complete and sign the form.

Please ask your current school to complete, sign and email the Waiorea Student Profile Form directly to waiorea@wsc.school.nz.At the same time can you please provide us with copies of the following documents, to be included with the above forms:
  1. The two most recent school reports for the student
  2. The student’s New Zealand Birth Certificate or Passport.(If the student does not hold a New Zealand Birth Certificate or Passport – Residency Documents will be required)
  3. Yr 11/12/13 Students Only - Current Record of Learning (all/any NCEA Internal and External Credits) Please ask your current school for this information.
  4. TWO official proofs of address: Select your proofs from the examples below. They should be addressed to the caregiver/s (with whom the student lives) at their permanent residential address:The two proofs we require are: 1st proof: a utility bill (power, gas, telephone landline, internet, water rates) addressed to caregiver 1 or 2 at the residential address they share with the student. 2nd proof: one of the following: a 2nd utility bill, motor registration, IRD letter, WINZ letter, Housing NZ letter, solicitor’s affidavit, driver’s license with address, addressed to caregivers 1 or 2 at the residential address as above. WE DO NOT ACCEPT documents addressed to a PO Box number or company names, bank accounts, insurance policies or lease or rental agreements.
Once we receive all the above documentation, we will contact you with an enrolment interview date and time for yourself and your child.

PLEASE NOTE that address and phone number details are collected at the time of enrolment and during the student’s time at school so that the school can contact the parent or student as necessary. These contact details may also be passed on to the Ministry of Education and the Ministry of Social Development (MSD). This is so young people who may have difficulty finding future employment, training or further education can be identified and offered support by organisations contracted by MSD to help re-engage young people in education or training when they leave school.
Upload School Report 1upload
cloud_uploadUpload School Reports
Luminoupload
cloud_uploadLumino Dentist Enrolment
Address Proofupload
cloud_uploadUpload Two Proof of Address
CyberAgreementupload
cloud_uploadUpload Cyber Agreement
Birth Certificate/Passportupload
cloud_uploadUpload Scan of Birth Certificate or Passport
STUDENT DETAILS
Family Name
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Middle Name
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Legal First Name
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Preferred First Name
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Date of Birth
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Gender
Addressyour home / office
Home Phoneyour full name
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Student Mobileyour full name
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Siblings Previously at WSC
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Previous WSC Family Member
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Year Level Applying For
Current School
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Other schools attend in the last 12 monthsmore details
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Ethnicity
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IWI
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Country of Birth
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Country of Citizenship
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Date of NZ Arrival
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PARENT/CAREGIVER DETAILS
Parent/Caregiver 1 (Person student lives with)
First Name
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Family Name
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Relationship to Student
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Home Address
Home Phone
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Business Phone
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Mobile Phone
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Occupation
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Name of Employer/ Company
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Parent/Caregiver 2
First Name
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Family Name
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Relationship to Student
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Home Address
Home Phone
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Business Phone
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Mobile Phone
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Occupation
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Name of Employer/ Company
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EMERGENCY CONTACT
First Name
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Surname
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Relationship to Student
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Daytime Phone Number
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Mobile Phone
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Occupation
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OTHER INFORMATION
Learning strengths/difficulties
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Previous learning or behavioural support (Special Ed, RTLB, CYPWA, TYLA project, Whanau support, Youth Aid, Starship)
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Other interests (eg sports, music, cultural activities, library, debating)
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DECLARATION
Student Name
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SignatureI agree to the terms and conditions
Student Signature
Clear Signature
Parent/Legal Guardian
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SignatureI agree to the terms and conditions
Parent/Legal Guardian Signature
Clear Signature
Parent/Legal Guardian
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SignatureI agree to the terms and conditions
Parent/Legal Guardian Signature
Clear Signature
Date of Signatures
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The Privacy Act 1993

  • The information requested is retained by the school and will be used for the following purposes:
  • To provide information to the Ministry of Education
  • To maintain contact with parents and caregivers
  • To facilitate the operation and administration of the school
  • To enable contact and give appropriate treatment in the event of emergency or student illness
STUDENT MEDICAL INFORMATION
(Caregivers to complete)
Student Name
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Date of Birthof appointment
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Immunisations Fully immunised
Persmission to have paracetamol
Persmission to have antacid treatment
Persmission to have cold sore treatment
Concerns: (eg sleep patterns, alcohol use, family illness)
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Family Doctor
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Doctors Address
Dentist
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Dentist Address

Any medicines brought to school must be left with the nurse. All medicines are kept in a locked cupboard for safety. 

Information in this health section is held by the School Nurse to assist in providing health care for your student. It is only shared with teachers if it affects student learning or safety [for example: hearing problems, asthma]

Tick Areas of Concern
Diabetes
Medication and Treatment Plan
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Anaemia
Medication and Treatment Plan
0 /
Frequent headaches /migraines
Medication and Treatment Plan
0 /
Vision problems
Medication and Treatment Plan
0 /
Hepatitis
Medication and Treatment Plan
0 /
Rheumatic fever /heart disease
Medication and Treatment Plan
0 /
Asthma/Bronchtis
Medication and Treatment Plan
0 /
Depression /anxiety
Medication and Treatment Plan
0 /
Frequent period pain
Medication and Treatment Plan
0 /
High blood pressure
Medication and Treatment Plan
0 /
ADHD/ADD
Medication and Treatment Plan
0 /
Hearing Problems
Medication and Treatment Plan
0 /
Epilepsy
Medication and Treatment Plan
0 /
Kidney
Medication and Treatment Plan
0 /
School avoidance
Medication and Treatment Plan
0 /
Allergies
Please specify
0 /
Other
Please specify
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STATEMENT OF AUTHENTICITY OF WORK
(All students to read & sign)

A contract between STUDENT, PARENT and WESTERN SPRINGS COLLEGE 

When I use other people’s ideas these will be acknowledged:
Student Full Name
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SignatureI agree to the terms and conditions
Student Signature
Clear Signature
Parent/Legal Guardian
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SignatureI agree to the terms and conditions
Parent/Legal Guardian Signature
Clear Signature
Date of Signature
date_range
PERMISSION SLIP
  1. Athletics Day (all year levels)
  2. Swimming Sports Day (all year levels)
  3. Picnic Day (end of year - year levels 9 & 10 only)

Exact dates and times will be notified at the start of the year. (The cost of these activities will be invoiced in January)


I give permission for the following student to attend the above events:

Student Full Name
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Parent/Legal Caregiver
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Daytime Emergency Phone
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SignatureI agree to the terms and conditions
Signature
Clear Signature
Medical conditions to be aware of which could affect participation:
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YEAR 9 NGA TAONGA O AOTEAROA / NEW ZEALAND’S UNIQUE BIODIVERSITY

Dear caregiver, 


The year 9 students will visit the zoo during the year with their science teacher as part of their first unit. The focus will be on Nga Taonga o Aotearoa, as well as ways in which we can improve the biodiversity in the local area. The visit(s) will occur during school time. The students will walk to the zoo with their science teacher and at least one other teacher. They will have a classroom session with a Zoo educator, as well as for “self­guided” sessions with their science teacher.

The cost of the zoo visits for the year will be $20, which covers all visits throughout the whole year. The fee will be included in the “Year 9 Science Course Costs”, payable to the school office for 2018. 

Please complete the form below. It needs to be signed and returned to the school office. 

Yours sincerely, 

Allayne Ferguson and Kathryn Jenkin 

Co-HODs Science Department 

Any queries to fergusona@wsc.school.nz or ienkink@wsc.school.nz or 815 6730 x725 

I give permission for the following student to partake in visits to the Zoo during 2018. 

Student Full Name
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Parent/Legal Caregiver
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SignatureI agree to the terms and conditions
Signature
Clear Signature
My son/daughter/ward has the following special needs/things that their science teacher should be aware of:
0 /
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