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Online Enrolment

Please note maximum Total file size allowed on this form is 8 MB.

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This field is for validation purposes and should be left unchanged.
Student Details
Student's Name*
First Last
Student's Preferred Name
First Last
Date of Birth*
DD slash MM slash YYYY
Gender*
- Male
- Female
- Other
If "Other", please specify*
Previous School
Address*
Street Address Address Line 2 City Suburb Post Code
Ethnicity
Iwi/Hapu
Affiliation
Ethnic Group/s*
Language Spoken at Home*
Country of Birth*
Country
Nationality*
Country
Parent/Caregiver Details (1)
Name*
Prefix First Last
Primary Caregiver*
- Yes
- No
Relationship to Student*
Address*
Same as Student Home Address

Street Address Address Line 2 City Suburb Post Code
Occupation*
Email*
Home Phone
Work Phone
Mobile Phone*
Parent/Caregiver Details (2)
Name
Prefix First Last
Primary Caregiver
- Yes
- No
Relationship to Student
Address
Same as Student Home Address

Street Address Address Line 2 City Suburb Post Code
Occupation
Email
Home Phone
Work Phone
Mobile Phone
Emergency Contact (1)
Name*
Prefix First Last
Relationship to Student*
Phone*
Emergency Contact (2)
Name*
Prefix First Last
Relationship to Student*
Phone*
Health
Allergies
Medication
Hearing
Vision
Speech
Other Health Issues
Special Learning and Behavioural Needs
Immunisation*
- Yes
- No
Has your child had any speech or SES assistance prior to enrolment?*
- Yes
- No
If yes, please provide details*
Medical Center Name*
Doctor's Name*
Phone*
Custody/Access Arrangements
Court Order Issued*
- Yes
- No
Court Order Documents
Accepted file types: jpg, png, pdf, doc, docx, Max. file size: 100 MB.
Access Arrangement
Early Childhood Education
Prior-Participation in Early Childhood Education
Please select (up to 3 services) for the last Early Childhood Education service(s) attended in the six months prior to starting school
- Kohanga Reo
- Play Center
- Kindergarten or Educations and Care Centre
- Home based service
- Playgroup
- The Correspondence School - Te Aho Te Kura Pounamu
Name of Kohanga Reo*
Hours per Week at Kohanga Reo*
Name of Play Center*
Hours per Week at Play Center*
Name of Kindergarten or Educations and Care Centre*
Hours per Week at Kindergarten or Educations and Care Centre*
Name of Home based service*
Hours per Week at Home based service*
Hours per Week at Playgroup*
Name of Playgroup*
Name of The Correspondence School - Te Aho Te Kura Pounamu*
Hours per Week at The Correspondence School - Te Aho Te Kura Pounamu*
Documents
Proof of in zone address*
Council rates, water care, electricity bill etc.
Accepted file types: jpg, png, pdf, doc, docx, Max. file size: 100 MB.
Student's Birth Certificate/Passport*
If student is a New Zealand citizen
Accepted file types: jpg, png, pdf, doc, docx, Max. file size: 100 MB.
Student's Passport*
If student is not a New Zealand citizen.
Accepted file types: jpg, png, pdf, doc, docx, Max. file size: 100 MB.
Parent's Passport*
If student is not a New Zealand citizen.
Accepted file types: jpg, png, pdf, doc, docx, Max. file size: 100 MB.
Parent's Visa*
If student is not a New Zealand citizen.
Accepted file types: jpg, png, pdf, doc, docx, Max. file size: 100 MB.
Immunisation Documents*
Accepted file types: jpg, png, pdf, doc, docx, Max. file size: 100 MB.
Additional Fields
Transport
- Walk
- Bike
- Car
- Taxi
Bus
- Nine Mile
- Charleston
- Carters Beach
- Waimangaroa
Siblings
Privacy & Policy
Permissions*
- Select All
- I agree to the Westport South School collecting personal information on the student registered on this form.
- I have been advised by the School that the information I provide will be used to enable Westport South School’s Board of Trustees to carry out its objectives as set out in the Charter, the National Educational Guidelines and legislation - particularly the Education Act.
- I accept the fact that this information may later be used for statistical and/or research purposes and agree to its use for that purpose, provided that if the information is published in any way it will not identify me or the individual concerned.
- I understand that the information that I provide will be held at Westport South School whose address is: Westport South School, Derby Street, WESTPORT.
- I am aware of the rights of access to, and correction of this information.
- I give permission for my child to participate in class excursions and the school swimming programme at the town pool. (Notification will be sent home prior to excursion).
- I agree to my child having access to the internet through the school’s computers in accordance with the schools internet safety procedure.
- I give the school permission to publish any photos taken while my child is at South School (class blogs, website, newspaper, google docs).
In the event of an emergency I give permission for the school to act on my behalf*
- Yes
- No
I give permission for the school to administer paracetamol to my child.*
- Yes
- No
Signature
By signing this below, I confirm that the information given in this form is true, complete and accurate.
Full Name*
Relationship to Student*
Date*
DD slash MM slash YYYY
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Contact

P: (03) 789 7132
E: office@westportsouth.school.nz

Westport South School
165 Derby St, Westport 7825,
New Zealand

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2026 Term Dates

Term 1: Mon 2 Feb – Thu 2 Apr
Term 2: Mon 20 Apr – Fri 3 Jul
Term 3: Mon 20 Jul – Fri 25 Sep
Term 4: Mon 12 Oct – Tue 15 Dec

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Home
News & Events
- Calendar
- Newsletters
Our People
- Staff
- BOT
Information
Enrolment
Gallery
Contact
- Contact Us / Absences

Home
News & Events
- Calendar
- Newsletters
Our People
- Staff
- BOT
Information
Enrolment
Gallery
Contact
- Contact Us / Absences

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