Dear Parents and Caregivers.
Please complete all relevant parts of this enrolment form.
For any other information please contact our school office
admin@thornton.school.nz

*Students Name

*Date of Birth

Birth Certificate or Passport Max 10MB

Required for new entrants only

*Address

*Gender

• Male
• Female

*Ethnicity

• NZ Maori
• NZ European
• Cook Island Maori
• Tongan
• Samoan
• British/Irish
• Chinese
• Indian
• Japanese
• Other

Iwi Aflilation

*Mothers Name

Mothers Address

If different from student

Mothers Email Address

Mothers Phone Number

Fathers Name

Fathers Address

If different from Student

Fathers Email Address

Fathers Phone Number

*Child lives with

Custody and Access Information

Names and birth dates of other members of the family likely to attend Thornton School in the future

Other family information that we may need to know

Emergency Name 1

Relationship to student

Phone Number

Emergency Name 2

Relationship to student

Phone Number

Doctor

Phone Number

Vaccination Certificate Attached Max 10MB

Medical Requirements

Information about Students Health

Any sight, speech, notifiable diseases or allegies

Did your child attend one or more of the following ECE Services in the last 6 months prior to starting school?

• Kindergarten or Education and Care Centre
• Home based Service
• Correspondence
• Kohanga Reo
• Play Centre
• Attended don't know what type of service
• Did not attend

Hours per Week

Time Attended

• 6 months
• 1 Year
• 2 Years
• 3 Years
• 4 Years

Previous School

Year Level

Address

Special Needs

Is your child receiving any asseistance from outside agencies, i.e. RTLB, GSE? If Yes, please provide details

Comments on previoius school history: learning and behavioiur

*I give permission (please check if Yes)

• For my child to attend Religious Instruction
• For my child to participate in the Fonterra Milk for Schools Programme
• For my child's photograph to be used for the school website, app and other publicity material