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Menu

About
Students
Parents
International
Useful Links
- Canvas
- Calendar
- Facebook
- Office 365
- Outlook
- Portal
- School App
- School Shop
- Stationery
- Uniform Shop
Contact

Enrolment Form

Displays enrollment details

1STUDENT DETAILS

2LIVING & ELIGIBILITY

3FAMILY INFORMATION

4DECLARATION

ENTRY YEAR*
YEAR LEVEL*
FIRST NAME*
LAST NAME*
PREFERRED NAME
DATE OF BIRTH*
DD slash MM slash YYYY
STUDENT MOBILE
STUDENT EMAIL ADDRESS
Enter Email Confirm Email
ETHNICITY*
* IWI/TRIBAL AFFILIATION*
OTHER*
STUDENT IS CURRENTLY ATTENDING
NAME OF SCHOOL*
PRESENT YEAR LEVEL*
HEALTH INFORMATION
DOES THE STUDENT HAVE A MEDICAL CONDITION, DISABILITY OR ALLERGY THE SCHOOL SHOULD BE AWARE OF?*
- Yes
- No
FURTHER DETAILS*
I GIVE PERMISSION FOR MY SON TO BE GIVEN PARACETAMOL*
- Yes
- No
I GIVE PERMISSION FOR MY SON TO BE GIVEN IBUPROFEN*
- Yes
- No
OTHER INFORMATION
OTHER INFORMATION

DOES THE STUDENT RESIDE IN THE SCHOOL ZONE?*
- Yes
- No
We require two forms of proof eg a rental agreement, rates statement, power or phone account.
STUDENT RESIDES AT*
- One Address
- Two Addresses
HAS THE STUDENT HAD A BROTHER OR FATHER WHO PREVIOUSLY ATTENDED OR CURRENTLY ATTEND SBHS?*
- Yes
- No
NAME*
RELATIONSHIP*
CURRENT/YEARS ATTENDED*

PARENTS/CAREGIVERS AT RESIDENCE 1
PARENT/CAREGIVER 1*
Prefix First Last
RELATIONSHIP TO STUDENT*
MOBILE
EMAIL ADDRESS*
PARENT/CAREGIVER 2
Prefix First Last
RELATIONSHIP TO STUDENT
MOBILE
EMAIL ADDRESS
HOME TELEPHONE
HOME EMAIL ADDRESS
RESIDENTIAL STREET ADDRESS, SUBURB AND POSTCODE*
POSTAL ADDRESS (if different from street address)
PARENTS/CAREGIVERS AT RESIDENCE 2
PARENT/CAREGIVER 1*
Prefix First Last
RELATIONSHIP TO STUDENT*
MOBILE
EMAIL ADDRESS*
PARENT/CAREGIVER 2
Prefix First Last
RELATIONSHIP TO STUDENT
MOBILE
EMAIL ADDRESS
HOME TELEPHONE
HOME EMAIL ADDRESS
RESIDENTIAL STREET ADDRESS*
POSTAL ADDRESS (if different from street address)
Additional contact details eg parent not living with student
- I want to add additional contact details
NAME
Prefix First Last
RELATIONSHIP TO STUDENT
TELEPHONE
EMAIL ADDRESS
MOBILE
RESIDENTIAL STREET ADDRESS
POSTAL ADDRESS (if different from street address)
EMERGENCY CONTACT DETAILS

(Relative, friend or neighbour who can be contacted)
NAME
Prefix First Last
RELATIONSHIP TO STUDENT
TELEPHONE
MOBILE
OTHER INFORMATION
OTHER INFORMATION

CONDITIONS OF ENROLMENT*
- I hereby make application to enrol this student at Shirley Boys’ High School under the terms and conditions of enrolment (contained in the school prospectus), including the school rules and guidelines, which I accept as applying to him (and I accept these may change from time to time).
- I will ensure the student attends regularly.
- I consent to my son participating in on-site EOTC activities (on the school grounds) e.g. science experiment, indoor climbing wall.
- I consent to the disclosure of basic student information such as Name, User ID, School Photo, Username, School Email, Timetabling information and Results to third parties for the purposes of providing online educational services provided that they have an agreement including privacy provisions with either Shirley Boys’ High School or the Ministry of Education.
- I consent to the school recording, sharing and publishing images, video and sound footage of my son in school publications, on school website and other online platforms
- I consent to the school publishing my son’s work
- I give permission for academic and attendance data to be shared with subsequent schools.
- In line with the unsolicited Electronic Messages Act 2007, I consent to Shirley Boys’ High School communicating with me via electronic messages as a means of reporting and general communication as they deem appropriate.
- I have read and accept the ICT Responsible use agreement the student will be expected to read and agree to by signing.
- I certify that all information entered on this enrolment form is correct
- Ticking this box constitutes acceptance of the above conditions of enrolment and execution by electronic signature.
IN-ZONE DECLARATION
- I confirm that the address which I have provided to the school will be the student’s usual place of residence when the school is open for instruction. I will advise the school of any subsequent change of address
The address given at the time of application for enrolment must be the student’s usual place of residence when the school is open for instruction. This means that if you currently live at an in-zone address but move to an out-of-zone address before your child’s first day of attendance at the school, your child will not be entitled to enrol at the school as an in-zone student. The Ministry of Education has advised that parents should also be warned of the possible consequences of deliberately attempting to gain unfair priority in enrolment by knowingly giving a false address or making an in-zone living arrangement which they intend to be only temporary eg:
- renting accommodation in-zone on a short-term basis with the purpose of providing an in-zone address;
- arranging temporary board in-zone with a relative or family friend;
- using the in-zone address of a relative or friend as an “address of convenience”, with no intention to live there on an ongoing basis.
If the school learns that a student is no longer living at the in-zone address given at the time of application for enrolment and has reasonable grounds to believe that a temporary in-zone residence has been used for the purpose of unfairly gaining priority in enrolment at the school, then the Board will review the enrolment and can result in the removal of the student from the school roll. The school has the right, and will, investigate in-zone enrolments if required. This course of action is provided for under the Education and Training Act 2020.
FILE
Drop files here or

Accepted file types: pdf, doc, docx, jpg, gif, png, Max. file size: 64 MB.
Please attach a copy of the student’s birth certificate. If born outside NZ or Australia, a copy of the student’s passport and Permanent Resident permit or Study Visa should be provided.

Copy of most recent school report.

For in-zone applications please attach two forms of proof. We will not accept screenshots.

Files uploaded must be one of the following file types: .pdf, .doc, .docx., .jpg, .gif or .png
PERSONAL INFORMATION AND THE PRIVACY ACT (2020)

The school collects personal information from its students so they can be enrolled, have their attendance and progress recorded, be entered for examinations and be contacted by the school. The school also collects information about the caregivers of the student so they may be informed of student progress, or contacted in an emergency. Personal information may be disclosed to other education agencies, such as the Ministry of Education, NZQA; and to Government agencies such as the NZ Police and Ministry of Social Development if they demonstrate a statutory right to obtain it. This is so young people who may have difficulty finding future employment, training or further education can be identified and offered support by organisations contracted by MSD to help re-engage young people in education or training when they leave school. Personal information may be retained by the School after the student leaves in order for the School to maintain a list of past students. It may also be disclosed to the Shirley Boys' High School Old Boys’ Association and the Shirley Boys' High School Parent Teacher Association to assist in compiling its membership register.
Under the Privacy Act 2020 you have the right of access to all personal information held by the School about you. You also have a right to ask the School to correct any information held which is inaccurate. You can exercise that right by applying to the School. You also have an obligation to advise the School if/when any of the personal information you have provided changes. If for any reason your enrolment is not accepted, this enrolment form will be destroyed.
Comments
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209 Travis Road, New Brighton, Christchurch 8061

office@shirley.school.nz

03 375 7057

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About
Students
Parents
International
Contact

About
Students
Parents
International
Contact