Leeston School
Online Enrolment
Application Form
Legal Surname *
Legal First Name *
Middle Name *
Preferred Surname *
Preferred First Name *
Date of birth *
select
Gender *
Country Or Jurisdiction Of Citizenship *
Language At Home
Ethnicities * Maximum 4 Allowed
Iwi Maximum 16 Allowed
Verification Document *
Document Expiry Date
select
Document Serial Number *
Date Of Arrival In NZ
select
Previous School
Eligibility Criteria *

Caregiver Details (Minimum 3)

Caregiver # 1 (This caregiver must live with the student)
Relationship *
Gender *
Select As Applicable *


Title *
Surname *
First Name *
Email *
Phone # Home *Only Numbers and spaces are allowed e.g. 06 1234567
Phone # Work *Only Numbers and spaces are allowed e.g. 06 1234567
Phone # Cell *Only Numbers and spaces are allowed e.g. 012 1234567
Search Address
Street *
Suburb *
City *
Post Code *
State / Province
Country *

Caregiver # 2
Relationship *
Gender *
Select As Applicable *


Title *
Surname *
First Name *
Email *
Phone # Home *Only Numbers and spaces are allowed e.g. 06 1234567
Phone # Work *Only Numbers and spaces are allowed e.g. 06 1234567
Phone # Cell *Only Numbers and spaces are allowed e.g. 012 1234567
Search Address
Street *
Suburb *
City *
Post Code *
State / Province
Country *

Caregiver # 3
Relationship *
Gender *
Select As Applicable *


Title *
Surname *
First Name *
Email *
Phone # Home *Only Numbers and spaces are allowed e.g. 06 1234567
Phone # Work *Only Numbers and spaces are allowed e.g. 06 1234567
Phone # Cell *Only Numbers and spaces are allowed e.g. 012 1234567
Search Address
Street *
Suburb *
City *
Post Code *
State / Province
Country *
Type Of Student
Starting Year Level (at this school) *
Enrolment Priority
Date First Started Any School
select
Start Date At This School
select
Zoning Status
Early Childhood Education
Photo Publication Consent
Internet Permission *
Doctor
Medical Centre
Phone NumberOnly Numbers and spaces are allowed
Alternative Phone NumberOnly Numbers and spaces are allowed
Address Street
Suburb
City
Pain Relief Permission
Medical Consent

File exceeds maximum size