Broad Bay School
Online Enrolment
Kia ora! we look forward to welcoming your family to Broad Bay School. Please complete this form to begin the enrolment process. If possible, please provide both your email address and mobile number, and at least one emergency contact in addition to the student's primary caregiver(s).  
Application Form

Student Details

Legal Surname *
Legal First Name *
Middle Name
Preferred Surname
Preferred First Name
Date of birth *
select
Gender *
NSN
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 1)

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 *

Type Of Student
Starting Year Level (at this school)
Date First Started Any School
select
Start Date At This School
select
Early Childhood Education
Boarding Status
Photo Publication Consent
Internet Permission *

Medical Information

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
Online Enrolment Powered by Musac Ltd.

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