BIS Online Enrolment - Sir Douglas Bader Intermediate School

Please fill in the following information and take note of required fields

Today's date(Required)

STUDENT'S DETAILS

Name(Required)

First Last

Preferred name

Gender

Birth date(Required)

Nationality(Required)

Main language spoken at home(Required)

If Maori, please state Iwi

Was the student born in NZ(Required)

Country of birth(Required)

Immigration status(Required)

Date arrived in NZ(Required)

Expiry of permit(Required)

STUDENT'S ADDRESS DETAILS

Home address(Required)

Street address Suburb City Post code

Home phone(Required)

Parent/s email(Required)

FAMILY INFORMATION

Mother / Guardian / Caregiver

Title

Name(Required)

First Last

Work phone(Required)

Mobile phone(Required)

Occupation(Required)

Address (if different from above)

Street address Suburb City Post code

Father / Guardian / Caregiver

Name(Required)

First Last

Work phone(Required)

Mobile phone(Required)

Occupation(Required)

Address (if different from above)

Street address Suburb City Post code

Emergency contact (not at same address)

Name(Required)

First Last

Best contact number(Required)

Relationship to student(Required)

Address(Required)

Street address Suburb City Post code

OFFICE INFORMATION (to be filled in by office staff only)

Start date

Tutor group

NSN #

House

Year level

PREVIOUS SCHOOL INFORMATION

Previous school(Required)

Length of attendance(Required)

Date started(Required)

Date left(Required)

Has your child ever been stood-down and/or excluded, or roll-removed from a previous school?(Required)

Please state why(Required)

Other family members at Bader Intermediate

EXTRA LEARNING SUPPORT

Has your child had extra support, e.g. ESOL (English as a second language), SWSN (Student with Special Needs, SWSA (Student with Special Abilities, RTLB, Teacher Aide or Speech Therapy?(Required)

Please list details(Required)

Other information offered by parent/s: Including custody, access arrangements and/or court orders

If the child you are enrolling is not your biological child, you must provide evidence you are the child’s legal guardian

File

Max. file size: 8 MB.

OFFICE INFORMATION (to be filled in by office staff only)

Legal documentation photocopied

SLT advised

HOBBIES / SPORTS / SPECIAL INTERESTS

Sports your child likes to play

Ever played sports for any Rep Teams?

Please state what Rep Teams

Can your child play any musical instruments?

Please state what musical instruments

Does your child have a musical background?

Student name(Required)

First Last

Year level

Room

ATTENDANCE / EOTC ACTIVITIES / CYBER SAFETY & INTERNET USE / PUBLICATION OF IMAGES

STUDENT RESPONSIBILITIES

Consent of student(Required)

I, the student, have read the Cybersafety Use Agreement statement below and am aware of the school’s initiative to maintain a cybersafe learning environment, including the responsibilities involved

I undertake that my child attends school regularly, wears correct school uniform, follows the school rules and regulations as set by the SDBI Board of Trustees. I also give permission
for the information contained in this enrolment form and student’s attainment records, to be made available to other educational and support agencies.
Occasionally students are asked to attend school trips, sports exchanges and events outside of school. I give permission for my child to attend these activities throughout the year.

We understand that Sir Douglas Bader Intermediate will;
• Do its best to keep the school cybersafe, by maintaining an effective cybersafety programme. This includes
working to restrict access to inappropriate, harmful or illegal material on the Internet or the school ICT equipment / devices at school or at school related activities, and enforcing the cybersafety regulations and responsibilities detailed in use agreements
• Keep a copy of this signed use agreement on web form on file (by ticking the consent box for both Student and Parent / Legal Guardian / Caregiver, you are hereby signing this form
• Respond appropriately to any breaches of the use agreements
• Provide members of the school community with cybersafety education designed to complement and support the agreement initiative
• Welcome enquiries from students or parents about cybersafety issues.

We understand that Sir Douglas Bader Intermediate is in no way responsible for;
• Personal digital devices that are broken while at school or during school-related activities
• Personal digital devices that are lost or stolen at school or during school-related activities

Students Responsibilities include:
• I will read the Cybersafety Use Agreement carefully
• I will follow the cybersafety rules and instructions whenever I use the school’s computer network, internet access facilities, computers and other school ICT equipment / devices
• I will also follow the cybersafety rules whenever I am involved with privately-owned ICT devices/equipment on the school site or at any school-related activity, regardless of its location
• I will avoid any involvement with material or activities which could put at risk my own safety, or the privacy, safety or security of the school or other members of the school community
• I will take proper care of school owned ICT equipment/devices. I know that if I have been involved in the damage, loss or theft of ICT equipment/devices, my family may have responsibility for the cost of the repairs
or replacement
• I understand that I must surrender my own personal device to the office before school starts, and collect at the end of the day, otherwise, if it is confiscated, only my parent / caregiver can collect it from the office
• I will not distribute pictures or video of students or staff without their permission (distribution can be as small as emailing / texting to one other person or as large as posting images or video online)
• I have read and understand my responsibilities and agree to abide by this Cybersafety Use agreement. I know that if I breach this use agreement, there may be serious consequences.

Parent / Legal guardian / Caregiver name(Required)

First Last

Consent of parent / legal guardian / caregiver(Required)

I, the parent / legal guardian / caregiver have read the Cybersafety Use Agreement statement below and am aware of the school’s initiative to maintain a cybersafe learning environment, including the responsibilities involved

I undertake that my child attends school regularly, wears correct school uniform, follows the school rules and regulations as set by the SDBI Board of Trustees. I also give permission
for the information contained in this enrolment form and student’s attainment records, to be made available to other educational and support agencies.
Occasionally students are asked to attend school trips, sports exchanges and events outside of school. I give permission for my child to attend these activities throughout the year.

We understand that Sir Douglas Bader Intermediate will;
• Do its best to keep the school cybersafe, by maintaining an effective cybersafety programme. This includes
working to restrict access to inappropriate, harmful or illegal material on the Internet or the school ICT equipment / devices at school or at school related activities, and enforcing the cybersafety regulations and responsibilities detailed in use agreements
• Keep a copy of this signed use agreement on web form on file (by ticking the consent box for both Student and Parent / Legal Guardian / Caregiver, you are hereby signing this form
• Respond appropriately to any breaches of the use agreements
• Provide members of the school community with cybersafety education designed to complement and support the agreement initiative
• Welcome enquiries from students or parents about cybersafety issues.

We understand that Sir Douglas Bader Intermediate is in no way responsible for;
• Personal digital devices that are broken while at school or during school-related activities
• Personal digital devices that are lost or stolen at school or during school-related activities

Students Responsibilities include:
• I will read the Cybersafety Use Agreement carefully
• I will follow the cybersafety rules and instructions whenever I use the school’s computer network, internet access facilities, computers and other school ICT equipment / devices
• I will also follow the cybersafety rules whenever I am involved with privately-owned ICT devices/equipment on the school site or at any school-related activity, regardless of its location
• I will avoid any involvement with material or activities which could put at risk my own safety, or the privacy, safety or security of the school or other members of the school community
• I will take proper care of school owned ICT equipment/devices. I know that if I have been involved in the damage, loss or theft of ICT equipment/devices, my family may have responsibility for the cost of the repairs
or replacement
• I understand that I must surrender my own personal device to the office before school starts, and collect at the end of the day, otherwise, if it is confiscated, only my parent / caregiver can collect it from the office
• I will not distribute pictures or video of students or staff without their permission (distribution can be as small as emailing / texting to one other person or as large as posting images or video online)
• I have read and understand my responsibilities and agree to abide by this Cybersafety Use agreement. I know that if I breach this use agreement, there may be serious consequences.

*KA ORA, KA AKO – Healthy Schools Lunch Programme

*We are pleased to advise our school’s participation in this programme, providing a healthy school lunch to your child every school day. You must complete this form in to advise us of any dietary requirements your child has, as well as any allergies. You must also provide the school with medication for your child should your child have an allergic reaction.

Student name

First Last

Year level

My child has special dietary requirements

Select what applies

Vegan

Vegetarian

Gluten free

Dairy free

Halal

My child has food allergies

Please list your child's food allergies(Required)

*Medication taken for your child's food allergies(Required)

*Please ensure the school is aware of your child’s allergies, and you have given this medicine to the school office for your child in case of emergency

Birth Certificate

Max. file size: 8 MB.

Immunisation Certificate

Max. file size: 8 MB.

Mana Health Form

Max. file size: 8 MB.

Immigration paperwork if applicable

Max. file size: 8 MB.

A copy of the following paperwork must be supplied for enrolment. Please select if it is attached above(Required)

Birth Certificate

Immunisation Certificate

Mana Health Form

Immigration paperwork if applicable

CAPTCHA

Please fill in the following information and take note of required fields

STUDENT'S DETAILS

STUDENT'S ADDRESS DETAILS

FAMILY INFORMATION

Mother / Guardian / Caregiver

Father / Guardian / Caregiver

Emergency contact (not at same address)

OFFICE INFORMATION (to be filled in by office staff only)

PREVIOUS SCHOOL INFORMATION

EXTRA LEARNING SUPPORT

Other information offered by parent/s: Including custody, access arrangements and/or court orders

OFFICE INFORMATION (to be filled in by office staff only)

HOBBIES / SPORTS / SPECIAL INTERESTS

*HEALTH FORM MUST BE COMPLETED IN FULL

Please select the following correct checkbox/es if your child has or has had the following disabilities, allergies or medical problems which may affect their performance or activities at school

If yes, please select relevant checkbox/es

Other relevant conditions

Special home circumstances

Asthma suffers only to fill in

Consent to the statement below

ATTENDANCE / EOTC ACTIVITIES / CYBER SAFETY & INTERNET USE / PUBLICATION OF IMAGES

*KA ORA, KA AKO – Healthy Schools Lunch Programme

Have a question?

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