Legal Name(s) *

First Name

Last Name

Preferred Name (if different)

First Name

Last Name

Date of Birth *

MM

DD

YYYY

Student Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Caregiver 1 Details *

First Name

Last Name

Caregiver 1 Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Caregiver 2 Details *

First Name

Last Name

Caregiver 2 Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Emergency Contact *

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

I have read and agree with the BYOD Agreement as found on the BYOD Page *

Yes

I give permission for Tokomairiro High School to contact my child's previous school to request information such as academic data, school reports, and any other relevant records to support their transition *

Yes

I give permission for staff to administer paracetamol and/or ibuprofen to my child if required for pain relief or fever, in accordance with recommended dosages. *

Yes

No

I give permission for my child to be included in school photos, newsletters, social media, and other promotional material, understanding that this helps celebrate student success and share school activities with our community *

Yes

Contact me to discuss