Expression of Interest

If you prefer you may complete a hardcopy version of this form. Please click here for a printable version.

Please send your completed forms to: Nova Montessori School, 53 Owles Terrace, New Brighton, Christchurch.

* Please complete all fields where applicable. All fields marked with an asterisk(*) are compulsory.

 
Child's Details
Child's full name: Required
Date of birth: Required
Place of birth: Required
Gender: Required
Home address (No. & Street): Required
Home address (Suburb): Required
Who does the child live with? Required
Names of siblings at NMC: Required
Entry date requested: Required
Present or last school attended: Required
Ethnic Group: ** Required
**As required by Ministry of Education. Please state Pakeha/European, Maori, Pacific Islander, etc.
 
Foreign Students Only
Are you an NZ permanent resident?
Passport number:
Visa status:
NZ entry date:
 
First Parent's Details
Relationship to child: Required
Full name: Required
Home address: Required
Email address: Required
Home phone number: Required
Work phone number: Required
Mobile phone number: Required
Occupation and industry: Required
Work Skills: Required
Does this parent have legal rights to the child? Required
Does this parent have legal access to personal information about the child? Required
 
Second Parent's Details
Relationship to child:
Full name:
Home address (if different from child):
Email address:
Home phone number:
Work phone number:
Mobile phone number:
Occupation and industry:
Work Skills:
Does this parent have legal rights to the child?
Does this parent have legal access to personal information about the child?
 
Other Caregiver/Guardian Details
Relationship to child:
Full name:
Home address (if different from child):
Email address:
Home phone number:
Work phone number:
Mobile phone number:
Occupation and industry:
Work Skills:
Does this parent have legal rights to the child?
Does this parent have legal access to personal information about the child?
 
Emergency Contact
Relationship to child: Required
Full name: Required
Home phone number: Required
Work phone number: Required
Mobile phone number: Required
 
Family
Brother/Sister (Put "none" if no siblings): Required
Age (Put "0" if no siblings): Required
Brother/Sister:

Age:
Brother/Sister:
Age:
Brother/Sister:
Age:
 
Child's Health Details
Physician name: Required
Physician address: Required
Physician phone number: Required
Vaccinations: Required
Does the child have any medical conditions the school should be aware of? Required
Allergies? Required
Vision? Required
Hearing? Required
Medication? Required
Other? Required
Please tell us any additional information that might impact on your child's interaction within the school community (beg. behavioural, social, high needs, other medical issues):
Other
How did you hear about Nova Montessori School? Required