Student Details *

First Name

Last Name

Date of Birth *

MM

DD

YYYY

Home Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Contact Number *

(###)

###

####

Which unit would you like to enrol your child in? *

Reo Rua

Rumaki

Start Date *

MM

DD

YYYY

Select which priority is applicable *

Priority 1: Special Programme - Te Whānau o Waipapa (Rumaki Unit)

Priority 2: Sibling of a current student

Priority 3: Sibling of a former student

Priority 4: Child of a former student of the school

Priority 5: Child of a Board of Trustee employee at this school

Priority 6: All other applications