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2024 Nurture People Enrolment Form
Parenting Classes
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Email
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Your email
Full name of parent attending
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Your answer
Full name of parent attending
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Your answer
Mobile phone number
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Your answer
Class enrolling for
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Infants on the Move Group - Nature Baby Newmarket, Fridays 10 -11.15am
Infant Group - Newborn to 5 mths - Nature Baby Newmarket, Fridays 11.30- 12.45pm
Toddler Group - Nurture People Warnock St, Wednesdays 10 to 11.30am from Term 3 July
Ideal starting date 2024 (Classes run during school terms for 9/10 weeks)
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Term 1 - Feb/March/April
Term 2 - May/June/July
Term 3 - July/Aug/Sept
Term 4 - Oct/Nov/Dec
Name of other parent/ partner/ caregiver if applicable
Your answer
Name of child
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Your answer
Child's Date of Birth
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MM
/
DD
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YYYY
Name of any other child needing to attend and age. (Ideally in the Infant Groups we want it to be special time with just you and baby).
Your answer
Emergency name and contact number.
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Your answer
Address/ Suburb
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Your answer
Allergies or helpful info for any attending family members.
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Your answer
How did you hear about Nurture People?
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Your answer
Share what you would like to of your birthing experience and of your parenting role so far? What has been the most surprising, rewarding and challenging for you?
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Your answer
What are you hoping to gain for yourself and your family in these classes?
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Your answer
Permission to share your email address with other parents in the class and invite you to join The Early Learning Group on Facebook?
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Yes
No
Permission to use photos or video footage from class to promote services of Nurture People. (please mark*)
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Yes
No
Yes, if unidentified
Outside of your parenting role what else defines you? What are your interests, skills, passions, training/ career? (also...we are growing and looking for expertise and support when time and energy allow, let us know if you are interested in your readiness to possibly contribute)
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Your answer
Tell us as much as you want to about your family culture, this can include things like your iwi, ethnicity, heritage, pepeha, values, likes, celebrations, and what is special or important to you and yours etc.
Your answer
On a scale of 1 to 10 rate your parenting confidence, 10 being the most positive.
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Low
1
2
3
4
5
6
7
8
9
10
High
On a scale of 1 to 10 rate your parenting contentment, 10 being the most positive.
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Low
1
2
3
4
5
6
7
8
9
10
High
On a scale of 1 to 10 rate your overall hauora / wellbeing, 10 being the most positive.
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Poor
1
2
3
4
5
6
7
8
9
10
Excellent
On a scale of 1 to 10 rate how you feel about the quality and connectedness of your relationship with your child/children.
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Feels disconnected
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2
3
4
5
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8
9
10
Extremely connected and close
Our gatherings/ playgroups are in public areas, local parks etc. While attending playgroups or the classes you agree to attend/ enter at your own risk and take full responsibility for you and your child's safety while entering, attending and exiting the park / property. You will inform Nurture People of any hazards you notice.
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Yes I agree
We are a charitable trust, relying on donations to support families.
We are an inclusive charity that recognises the generational and career/ workplace disparity of incomes and the minimal support of long term parenting in the home. Therefore our donation system is based on a sliding scale model to meet these circumstances. The donation includes a $25 accompanying booklet.
Nurture People appreciates any donations you are able to make now and in the future and sends receipts so you can claim tax credits of 33%.
We will send bank details when we confirm your place.
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Option 1: $350+ I am able to contribute at this level which will also help a parent in the future.
Option 2: $250 - I am currently able to contribute this level of donation.
Option 3:$150 - I am currently able to contribute this level of donation.
Option 4: In my current financial situation I would like to be considered for a funded place.
Option 5
Anything else you would like to add or inform us of.
Your answer
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