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