Nova Montessori Logo Nova Montessori School
 

 
 
 

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: *
Date of birth: *
Place of birth: *
Gender: *
Home address (No. & Street): *
Home address (Suburb): *
Who does the child live with? *
Names of siblings at NMC: *
Entry date requested: *
Present or last school attended: *
Ethnic Group **
**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: *
Full name: *
Home address (if different from child): *
Email address: *
Home phone number: *
Work phone number: *
Cell 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? *
   
Second Parent's Details  
Relationship to child:
Full name:
Home address (if different from child):
Email address:
Home phone number:
Work phone number:
Cell 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:
Cell phone number:
Occupation and industry:
Work skills:
Does this caregiver/guardian have legal rights to the child?
Does this caregiver/guardian have legal access to personal information about the child?
   
Emergency Contact  
Relationship to child:
Full name:
Home phone number:
Work phone number:
Cell phone number:
   
Family  
Brother/Sister (Put "none" if no siblings): *
Age (Put "0" if no siblings): *
Brother/Sister:
Age:
Brother/Sister:
Age:
Brother/Sister:
Age:
   
   
Child's Health Details  
Physician name: *
Physician address: *
Physician phone number: *
Vaccinations: *
Does the child have any medical conditions the school should be aware of?* *
Allergies? *
Vision? *
Hearing? *
Medication? *
Other? *
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? *
   
 
Support
Nova makes every effort to keep our fees affordable. Parents can maintain this possibility by helping in areas where the school need support. Below are some possible areas where you can help. Please select the ones that are appropriate to your skills and time. Thank you.
         
Classroom     Administration  
Cooking:   IT skills:
Assisting with field trips :   Electrical work:
Gardening:   Plumbing:
Photography:   Painting:
Maori Culture :   Fundraising:
Other (please specify):   Other (please specify):
 
Please ensure you have marked all required fields (marked with an asterisk*) before submitting.