Home Enrolments Domestic Students Online Enrolment Form
 


210 Lake Road
Takapuna, Auckland
+64 9 489 4167

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Domestic Student Online Enrolment Form
On enrolment all students will be interviewed by Senior Management.
Please complete this enrolment form and contact the Enrolment Administrator to arrange an appointment.
ENROLMENT ZONE
IN ZONE
The student is residing with parents or legal guardians in the Takapuna Grammar School Zone.

Proof of address will be required at the enrolment interview.
OUT OF ZONE
The student is residing with parents or legal
guardians outside the Takapuna Grammar School
Zone.
Note: Legislation may require a selection to be carried out
by ballot (Please circle applicable from the following)
1. Part of the Special Education programme
2. Brothers or sisters presently attending
   Takapuna Grammar School
  Name Level
  Name Level
3. Brothers or sisters - past students
   Names
4. Other
PERSONAL STUDENT DETAILS
Surname *
First Names*
Preferred Name*
Mail to Whom*
Address*
Home Phone*
Home Email *
Citizenship*
First Language*
Ethnicity*
Iwi Affiliation (if applicable)
Last/present school*
Year Level* 9      10     11     12     13
Gender* Male       Female
Date of Birth* (DD/MM/YYYY)
Type of Student *     Regular       Fee Paying       Exchange
STUDENT FROM OVERSEAS (passports required)
Refugee (tick if applicable)
Date of entry into NZ   (DD/MM/YYYY)
Visa Type (parent)  Work       Student       PR        Other
Expires   (DD/MM/YYYY)
Visa Type (student)  Permanent Resident       Student
Expires   (DD/MM/YYYY)
SIBLINGS
Will the student be the eldest at Takapuna Grammar School? *    Yes        No
Siblings at Takapuna Grammar School
Name
Year
Name
Year
CAREGIVERS
For the School to fulfil its responsibilities to Caregivers, it must have up-to-date contact information to report on student progress and to notify caregivers in cases of emergency. It is important that the following sections are completed fully and updated regularly as changes occur.
CAREGIVER NUMBER 1
Surname*
First Names*
Title* Miss      Mrs     Ms     Mr     Other  
Address*
Home Phone*
Work Phone
Mobile
Email
Occupation
Workplace
Relationship to Student*
Is this student living with this person?*      Yes        No
Is this person a legal guardian of the student?*      Yes        No
Does this person have legal access rights to the student?*        Yes        No
Does this person have legal access to personal information about the student? *
Yes        No
CAREGIVER NUMBER 2
Surname
First Names
Title Miss      Mrs     Ms     Mr     Other
Address
Home Phone
Work Phone
Mobile
Email
Occupation
Workplace
Relationship to Student
Invoices to be mailed to above address?      Yes        No
Reports/Newsletters to be mailed?      Yes        No
Is this student living with this person?       Yes        No
Is this person a legal guardian of the student?       Yes        No
Does this person have legal access rights to the student?        Yes        No
Does this person have legal access to personal information about the student?
Yes        No
EMERGENCY CONTACT
Surname
First Names
Title Miss      Mrs     Ms     Mr     Other
Home Phone
Work Phone
Mobile
Workplace
Relationship to Student
STUDENT ABILITIES
Does the student have any condition that might affect classroom learning e.g. hearing loss, need for glasses, motor skill loss, learning/emotional difficulties, previous RTLB or GSE involvement?        Yes        No
If yes, please explain.
PARENTAL ASSISTANCE
I would like to offer the following services and skills to the school to support their various programmes. I understand that this is voluntary.
 
  Fields with * are required.