Birkdale Intermediate
Online Enrolment

Tēnā koe,


Welcome to the Birkdale Intermediate School Enrolment form.

Please complete as much information as possible to help us process your child's enrolment.  

Note: * indicates compulsory fields to be completed.  Without completing these fields, you cannot submit your enrolment.

If you are unable to load your Supporting documents please send photos of 

1) Birth Certificate or Passport

2) Immunisation Record and

3) Proof of address to office@bis.school.nz with your Child's name as the subject to finish the enrolment process.

4) VISA or Residency documents if your child was not born in NZ

Ngā mihi nui
Application Form

Student Details

Legal Surname *
Legal First Name *
Middle Name
Preferred Surname
Preferred First Name
Date of birth *
select
Gender *
NSN
Cell phone #Only Numbers and spaces are allowed e.g. 012 1234567
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 *
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 *
Remove this caregiver
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) *
Date First Started Any School
select
Start Date At This School *
select
Zoning Status *
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
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