Parent Declaration / Digital Citizenship

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This form must be completed before enrolment can be accepted.

Privacy Statement: The information collected will be used by the school for enrolment and forms an essential part of the information held by the school on your child. This information may be disclosed to appropriate education, health and welfare authorities, and for data-gathering purposes by the New Zealand Ministry of Education, in accordance with the principles of the Privacy Act. It will not be disclosed to any other person or agency unless such disclosure is authorised or required by law

Email *

Students Full Legal Name: *

Students Date of Birth: *

YYYY

Students previous school / daycare or kindergarten: *

Languages other than English that are spoken at home: *

Siblings already enroled at Pāpāmoa Primary School:

Cousins / step siblings etc already enroled at Pāpāmoa Primary School:

Pre-schoolers who may attend in the future:

Please include full name AND date of birth.

Further Information: Learning & Behaviour Needs etc.

Please identify anything further you think would assist the school in supporting your child:

I have read the Internet Policy Document about Digital Citizenship at Pāpāmoa Primary School:

All school policies can be found on our website under Parent/Visitor Info - School Policies.

Yes

I have read and will inform my child of the Digital Citizenship Contract: *

Yes

I consent to the school issuing my child with relevant devices and access to the internet to support learning in the classroom:
*

Yes

I consent to the school issuing my child with a google account for school purposes. I understand that I will have access to this account as it will support the development of a learning partnership for my child:
*

Yes

Has the student been stood down/ suspended from another school? If so please provide details: *

I agree that the above named student will wear correct school uniform and abide by our Pāpāmoa Primary School expectations: *

Yes

I have read and will inform my child of the “No Rough Play” expectations:

Yes

I give permission for the school to use images/ publications of my child or my child’s work in the media e.g. newsletters, school website, facebook and seesaw *

Yes

Other:

I give permission for the student to participate in school trips within the Pāpāmoa Primary School area (Education outside of the classroom EOTC): *

Yes

I give permission for the school to take action on my behalf in case of an emergency:

A parent / caregiver will also always be contacted.

Yes

I give permission for the school to request relevant information from previous schools for enrolment purposes: *

Yes

I accept that any incorrect / falsified information could result in the annulment of this enrolment: *

Yes

I acknowledge that the information above is true and accurate and will be relied upon by the school: *

Yes

Legal guardian who is completing this form *

Mother / Father

Grandmother / Grandfather

Legal Guardian

Full name of Legal Guardian *

A copy of your responses will be emailed to the address you provided.

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