Iqra School
Online Enrolment

Please fill in all the required fields. If the child was born overseas please provide the date of arrival in NZ as well as a scan of the current visa.

For students starting school for the first time, a scan of NZ passport or NZ birth certificate is required.

Please note by submitting this form you agree to the following:
Application Form

Student Details

Legal Surname *
Legal First Name *
Middle Name
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 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 *

Starting Year Level (at this school)
Enrolment Priority *
Date First Started Any School
select
Start Date At This School
select
Early Childhood Education *
Photo Publication Consent
Internet Permission *

Medical Information

Doctor
Medical Centre *
Phone Number *Only 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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