Upper Hutt School
Online Enrolment

Please complete the below enrolment. When completing the form, please add two emergency contacts.

You will also be required to provide proof of address, your child's birth certificate / passport, immunisation records and visa if applicable. 

We adhere to our enrolment zone (as on the website), if you are out of zone and do not have an older child attending Upper Hutt School your enrolment will declined. 

Should you encounter any difficulties or have any questions, our friendly Office Assistant, Donna, is happy to assist. You can reach her at 04 939 6634 or donnaj@upperhuttschool.nz.
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 2)

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 *
Remove this caregiver
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 *

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

Medical Information

Doctor *
Medical Centre *
Phone Number *Only Numbers and spaces are allowed
Pain Relief Permission
Online Enrolment Powered by Musac Ltd.

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