Pre-Enrolment Application – William Colenso College

This form is a PRE ENROLMENT Application only. Once you submit this application you will be contacted to arrange an enrolment interview.

First Name

Students Legal Name

Surname

Preferred Name

Date of Birth

Address

Student’s Cellphone

Nationality

Expected Start Date at WCC

Year Level

Ethnicity

Iwi

Previous School

Siblings enrolled at WCC?

Yes

No

Please bring along to the enrolment interview a copy of your child’s birth certificate and if you are not a NZ citizen a copy of your passport/visa.

Primary Caregiver 1

(Main Residence) Who the student lives with

Relationship to the student

Contact Number (s)

Email Address

Caregiver 2

Relationship to the student

Contact Number (s)

Secondary caregivers

Name

Relationship to student

Contact number (s)

Add +

Emergency Contact

Relationship to the student

Cell Number

Work Number

Name of your family Doctor

Phone

Panadol allowed

Yes

No

Permission to transport to medical facility if required

Yes

No

Ibuprofen allowed

Yes

No

Antihistamine allowed

Yes

No

How will your child travel to school?

Bike

Walk

Bus

Private Car

Other

Consent for Nursing Assessment and Treatment from school-based nurse

Yes

No

Are there any health problems or illnesses or disabilities the school should be aware of?

Yes

No

Is the student restricted from strenuous exercise or contact sport?

Yes

No

Is there any guardianship or custody issues?

Yes

No

Pre Enrolment Application

Secondary caregivers