Rolleston Christian School

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Online Enrolment

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Section A
Student Details
Name*
Legal First Name(s) Legal Surname
Preferred Names
Preferred First Preferred Surname
Gender
- Female
- Male
Date of Birth*
DD slash MM slash YYYY
Requested Start Date*
DD slash MM slash YYYY
Ethnicity(ies)*
Iwi Affiliation(s)
Citizenship*
Citizenship (if other please enter here)
(If applicable) Date of Child's Entry into New Zealand
DD slash MM slash YYYY
Main Language Spoken at Home*
Other Languages Spoken
Siblings who are also applying
Names & date of birth of younger siblings
Please upload a copy of the child's Immunisation Certificate
Max. file size: 512 MB.
NZ Citizen: Please upload a scanned copy of NZ Birth Certificate or Passport photo page
Max. file size: 512 MB.
Other: Upload copy of Visa a & child's passport
Max. file size: 512 MB.
Student level for first year of enrolment*
New Entrant Details
Prior participation in Early Childhood Education

Did the child attend one or more Early Childhood Education service(s) in the six months prior to starting school? Please complete the table below for the last service(s) attended.
- 1. If the child was attending more than one service at the same time, please enter hours per week for up to three services.
- 2. If the child attended one service, but changed to a different service within the six months prior to starting school, please complete the table for the last service only, not both.
- 3. If the child’s attendance hours varied, or the parent/caregiver is uncertain, please enter an approximate or average number of hours per week.
Most Recent Service*
Name of most recent Facility
Hours/Days attended
(e.g. Monday 9-12)
Most Recent Service
Name of most recent Facility
Hours/Days Attended
(e.g. Monday 9-12
Transferring Student Details (Y2-Y8)
Previous School
Upload Last report from school
Max. file size: 512 MB.
Current Reading Level
Current Writing Level
Current Maths Level
Previous School
Upload Last Report from school
Max. file size: 512 MB.
Parent/Guardian/Caregiver First Contact Details
Please note this is the person who will be most engaged with school communication. They will receive all school correspondence and be the first point of contact in an emergency.
Relationship to student (first contact)*
First Contact Name*
First Name(s) Surname
Title (First Contact)
Marital Status (First Contact)*
Address (First Contact)*
Street Address Address Line 2 City ZIP / Postal Code
Mobile Phone (First Contact)*
Home Phone (First Contact)
Work Phone (First Contact)*
Email (First Contact)
Church Attending (First Contact)
Occupation (First Contact)*
Business Name (First Contact)
Business Address
Parent/Guardian/Caregiver Second Contact Details
Relationship to student (2nd contact)
2nd Contact Name
First Name(s) Surname
Title (2nd Contact)
Marital Status(2nd contact)
Address (2nd Contact)
Street Address Address Line 2 City ZIP / Postal Code
Mobile Phone (2nd Contact)
Home Phone (2nd Contact)
Work Phone (2nd Contact)
Email (2nd Contact)
Church Attending (2nd Contact)
Occupation (2nd Contact)
Business Name (2nd Contact)
Business Address
Other Parent/Guardian/Caregiver Details
Student Lives with*
If other, specify name(s) & relationship(s)
If there are legal custodial arrangements, please state these arrangements
Alternative Emergency Contact Details
Full name*
Relationship to student*
Mobile Phone*
Home Phone
Email*
Student Medical Details/History
Family Doctor's Name*
Doctor's Phone*
Doctor's Surgery Name*
Doctor's Surgery Address
Street Address City ZIP / Postal Code
Allergies
Conditions
Treatment
Sight
Hearing
Other health factors the school should know about
Special Learning Requirements
Please tick the consents that you agree with for your child. By ticking you agree that these consents are valid for the time your child attends Rolleston Christian School, unless you notify the school otherwise in writing.
Consents
- Sudden Injury - I give permission for the school to call an ambulance in the case of sudden illness or injury of my child.
- Paracetamol - I give permission for the school to administer paracetamol to my child without needing to contact me first
- Publication of Photo - I give permission for the school to publish un-named photos of my child in any school publication.
- Contact Details - I give permission for my child’s name, phone, physical address and the name of my child’s primary contact to be recorded in a directory for distribution within the Rolleston Christian School community.
- I'm aware my contact details will be shared with the CST (Christian School Trust) and the CEN ( Christian Education Network) for enrolment and billing purposes.
Do you give Rolleston Christian School permission to contact the applicant’s school for additional information?*
- Yes
- No
I give permission for services such as hearing, vision, and the Dental Van to test/see my child/ren on school premise*
- Yes
- No
Introduction to Our Child
Student's Name*
I/we consider our child has particular strengths in the following areas: (eg, academic, creative, social, spiritual)*
I/we are aware of learning difficulties in the following areas
I/we would like our child to participate in or be especially encouraged in the following areas*
I/we believe our child’s temperament to be*
I/we have found that our child responds best to discipline that is*
Introduction to Our Child - For Older Students
Hobbies/Areas of Interest
Community Involvement
Sports Background
Why do you wish your child/ren to attend Rolleston Christian School?*

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Section B - Parents' Statement
Personal views on the Christian faith
Mother*
Describe your personal stance with regard to Christian beliefs and practice
Father*
Describe your personal stance with regard to Christian beliefs and practice
Section C & D - References
I will provide a Character reference from*
Name of person providing a reference*
Applicants name as the referee knows them*
First Last
Email address of person providing character reference
The person providing the character reference
- does not use email
If the person providing the reference does not use email, please click to download either Section C (Pastor/Minister) or Section D (Other) and get them to fill in a physical copy and mail it.

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Section E
You can view our our Statement of Faith here
Section F - Parents' Covenant & Declaration
Preferred email address for newsletters, reports and other information*
Covenant*
- I, having become familiar with the aims and objectives of Rolleston Christian School, commit to support the school’s principles.
- We will actively participate in the education of our children, with specific reference to behaviour encouraged and expected by the school.
- We agree that Christian education is a partnership between school and parents. To know and have an understanding of what our child is learning, we recognise the need to work together with teachers. We will liaise directly with our child’s teacher when necessary, will attend parent-teacher interviews and parent forums each term.
- We are aware the school encourages the active involvement of parents in the life of the school. To this end, we will familiarise ourselves with school activities through the weekly school newsletter and will respond quickly to special requests when able. Where able, we will offer services to assist the cause of the school.
- We commit to paying the attendance dues, as set by the Christian Schools Trust.
- I/we have read the above Parents’ Covenant and Declaration, Statement of Faith, understand there is a compulsory attendance due, and agree to abide by these conditions. I/we hereby submit an application for a place at Rolleston Christian School.
You will also be required to sign a declaration at the Principal interview to confirm your agreement and that all the information you have just provided is correct

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