CAREGIVER 1 PRIMARY CAREGIVER

Transcription

1 Enrolment Form STUDENT DETAILS Family Name (legal) Family Name (preferred) First Names (legal) First Names (preferred) Date of Birth Current Year Level Gender (please tick) Male Female Current School Usual Residential Address Home Phone Student Cell Phone Sibling(s) presently at Wakatipu High School Previous family House Competition affiliation (if any) Enrolment Form Expected Start Date ETHNICITY AND LANGUAGE Please tick appropriate box NZ Maori NZ European/Pakeha Other (please specify) Iwi (if NZ Maori) Language spoken at home PRIMARY CAREGIVER 1 PRIMARY CAREGIVER 2 Relationship to Student Relationship to Student Title Family Name Title Family Name First Name Address Postal Address First Name Address Postal Address Home Phone Work Phone Home Phone Work Phone Cell Phone Occupation Place of work Does the student live with you? Yes No Cell Phone Occupation Place of work Does the student live with you? Yes No EMERGENCY CONTACT Please complete details below of a contact person if parents/caregivers are not available. Name Relationship Address Cell Phone Phone

2 SECONDARY CAREGIVER 1 SECONDARY CAREGIVER 2 Relationship to Student Relationship to Student Title Family Name Title Family Name First Name Address Postal Address First Name Address Postal Address Home Phone Work Phone Home Phone Work Phone Cell Phone Occupation Place of work Does the student live with you? Yes No Cell Phone Occupation Place of work Does the student live with you? Yes No SCHOOL BUS Please tick the box if the student requires a school bus. Bus information will be available through the school website later in the year. NEW ZEALAND CITIZENSHIP Please complete this section if the student is a New Zealand citizen. Please provide evidence of one of the following Birth Certificate Passport Citizenship MIGRANT AND INTERNATIONAL STUDENTS Please complete if the student is not a New Zealand citizen. Passport No. Type of visa Date of entry to NZ Nationality Visa expiry date DISCLOSURE OF STUDENT PERSONAL INFORMATION Please tick the box if you agree to your student s name or photograph being published in school publications e.g. magazine, website. CHECKLIST Student Health Form attached Sports Activities Form attached Learning Support Form attached (if applicable) ICT Responsible Use Agreement read address is clear and correct Course Choices attached Copy of Birth Certificate/Passport/Citizenship/Student Visa attached DECLARATION BY PARENT(S) OR CAREGIVER(S) I apply to enrol my son/daughter at Wakatipu High School and agree to comply with School Policies and School Rules in all matters concerning the School including the ICT Responsible Use Agreement. I appreciate that the Board of Trustees reserves the right to alter both Rules and Policies. I agree to pay for any optional goods and services associated with the subjects and activities undertaken by my son/ daughter that are not considered compulsory for the delivery of curriculum. RELATIONSHIP TO STUDENT For office use only Year Level Tutor Group Bus Logon/NZQA Start Date

3 Student Health Form To help us care for the student in any illness/emergency situation, please answer the following questions. ALLERGIES Please outline any allergies (or intolerances) including details of severity and treatment/medication. Student Health Form OTHER MEDICAL CONDITIONS/ISSUES Please outline any other medical issues (including severity and medication) that may impact on the student at Wakatipu High School. Consider the classroom, camps, trips and practical activities. Include previous injuries if relevant. MEDICATION REQUIRED AT PRESENT PARACETAMOL Please tick if you give permission for staff to administer paracetamol as pain relief to the student. TETANUS IMMUNISATION Please indicate the year of the student s most recent tetanus immunisation. RELATIONSHIP TO STUDENT Please ensure that the school office is informed of any changes of medication or condition.

4 Learning Support Form To help us meet the learning needs of the student, please answer the following questions and attach any relevant documents or reports if appropriate. SPECIAL EDUCATION REQUIREMENTS Has the student received assistance from outside agencies? (e.g. Special Education, RTLB, Hospitals, etc) Has the student ever received Special Education funding? (e.g. teacher aide assistance) Yes No Has the student received an educational assessment? (e.g. Seabrook McKenzie, SPELD) Yes No Has the student received a diagnosis of a specific learning difficulty? (e.g. dyslexia, dyspraxia, etc) Yes If you answered yes to any of the above questions, please provide details below. Yes No No Learning Support Form LITERACY AND NUMERACY Has the student received any additional literacy support? Yes No Has the student received any additional numeracy support? Yes No If you answered yes to any of the above questions, please provide details below. GIFTED AND TALENTED Has the student been involved in a gifted and talented, extension or accelerated programme? Yes No Would you be interested in receiving information about the gifted and talented programme at Wakatipu High School? If you answered yes to any of the above questions, please provide details below. Yes No ENGLISH SPEAKERS OF OTHER LANGUAGES Is English the student s first language? Yes No If English is not the student s first language, please indicate the number of years the student has received ESOL support. RELATIONSHIP TO STUDENT Please tick if you have attached documents or reports to this form.

5 Sports Activities Form CURRENT SPORTS PARTICIPATION TEAM(S) PLAYED FOR Sports Activities Form AVAILABLE SPORTS ACTIVITIES The following sports activities are available to students at Wakatipu High School. Further information regarding registration will be available at the extra-curricular expo at the start of the school year or from the Sports Co-ordinator. Please tick the boxes below of the sports that the student is interested in becoming involved with. Athletics Cycling Karate Skiing/Snowboarding Badminton Equestrian Kayaking Squash Basketball Football Ki O Rahi Swimming Boxing Indoor Bowls Futsal Golf Downhill/Cross-country Mountain Biking Multisport/Adventure Racing Lawn Bowls Gymnastics Netball Tennis Cricket Hockey Rowing Touch Cross country Ice Hockey Rugby Volleyball PARENTS/CAREGIVERS SECTION If you are able to assist with coaching, managing or officiating a Wakatipu High School team, please provide your name, contact number and other information below. Coach development opportunities are offered so please also give your details if you are interested in assisting but feel that you lack experience. NAME CONTACT NUMBER SPORT Please comment on your experience and the roles that you are willing to assist with.

6 Year 9 Course Choices All Year 9 students at Wakatipu High School are required to study a full year course in: English Health and Physical Education Mathematics Science Social Science Students also study 4 option courses. Two options in terms 1 and 2 (semester 1). Two different options in terms 3 and 4 (semester 2). Please choose one option from each section below. Year 9 Course Choices OPTION 1: THE ARTS Tick 1 only Art Drama Music OPTION 2: LANGUAGE Tick 1 only ESOL French Maori Other Please Specify OPTION 3: TECHNOLOGY Tick 1 only Hard Materials Technology Food Technology Digital Technology Design and Visual Communication OPTION 4: ANY LEARNING AREA Tick 1 only (you cannot select a subject that you have chosen in options 1,2,3) Music Maori Digital Technology Drama French Hard Materials Technology Art ESOL Food Technology Design and Visual Communication (We will endeavour to ensure that all students are given their choices. If through timetable restraints this is not possible students will be asked to select another option.) STUDENT SIGNATURE

7 Year Course Choices Please use the Course Option Booklet that is available through the school website to help select courses. Record them in the spaces below. In Year 10, students are required to take English, Mathematics, Science, Social Studies, PE/Health for the full year and will then select 2 full-year options. In Year 11, it is strongly recommended and expected that all students will take English, Mathematics and Science. Students will then select 4 more option subjects, one of which is usually a Student Independent Learing (SIL)/Study. In Year 12, it is strongly recommended and expected that all students take English. Students will then select 6 more option subjects, one of which is usually a Student Independent Learning (SIL)/Study. In Year 13, students select 7 option subjects, two of which are usually a Student Independent Learning (SIL)/Study Year Course Choices OPTION 1: All year groups OPTION 2: All year groups OPTION 3: Year 11, Year 12 and Year 13 only OPTION 4: Year 11, Year 12 and Year 13 only OPTION 5: Year 12 and Year 13 only OPTION 6: Year 12 and Year 13 only OPTION 7: Year 12 and Year 13 only (We will endeavour to ensure that all students are given their choices. If through timetable constraints this is not possible students will be asked to select another option.) STUDENT SIGNATURE Please ensure that this form is submitted with your enrolment form.

8 Uniform UNIFORM SHOP FOR UP TO INFORMATION ON OPENING HOURS VISIT or BOYS Grey Trousers 2 $59.90 GIRLS Summer Skirt (Terms 1 and 4) $54.90 Uniform White Shirts (Short Sleeved) 1 $29.90 Winter Kilt (Terms 2 and 3) $ White Shirts (Long Sleeved) 1 $32.90 Grey Shorts 2 $54.90 Navy Socks (3 pair pack) $14.90 Black Belt $26.90 WHS Tie 4 $29.90 Blazer $ PE Uniform (includes shorts and top) 5 $89.90 Shoes (plain, black, polishable) 6 White Blouses (Short Sleeved) 1 $29.90 White Blouses (Long Sleeved) 1 $32.90 Navy Tights (Cotton) 3 $16.90 Navy Tights (Merino) 3 $20.90 Navy Socks (3 pair pack) 3 $14.90 WHS Tie 4 $29.90 Blazer $ PE Uniform (includes shorts and top) 5 $89.90 Shoes (plain, black, polishable) 6 Optional Items WHS Jersey WHS Scarf *** Available from Macpac $84.90 $24.90 WHS Beanie $21.90 Down Jacket (Winter only) *** $ Uniform prices are subject to change. Correct as at December 2014 Notes 1 Students may wear short or long-sleeve shirts year round 2 Boys may wear shorts or trousers year round 3 Girls may wear either cotton or Merino navy tights during terms 2 and 3. Navy socks are to be worn in terms 1 and 4 4 The tie must be worn by year 9 and 10 students in terms 2 and 3. Year 11, 12 and 13 students must wear the tie all year round 5 PE Uniform must be worn by all year 9 and 10 students 6 No canvas, no coloured logos. Can be slip-on or lace-up. Not sold by the uniform shop