Expression of Interest in Attending Clarkville Te Kura ki Waimātao
Sign in to Google to save your progress. Learn more
Child's name
 *
Date of birth *
MM
/
DD
/
YYYY
Gender
 *
Address *
Year of commencement *
Which term would you like your child to begin school (children must be 5 before starting school) *
Expected year level at commencement.
 *
Current school or preschool *
Parent/guardian 1 *
Relationship to child *
Parent/guardian 2
Relationship to child
Address of parent/guardian 2 (if different from above)
Phone Number *
Email *
Any information you would like us to know

PRIVACY POLICY

Clarkville School maintains a privacy policy. Information provided in this form will be considered confidential and will be used only for the purpose for which it has been provided or a directly related secondary purpose.

Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Clarkville School. Report Abuse
Google Forms