Online Enrolment

ENROLMENT INFORMATION FORM

Student Information

Date of Birth *

Gender *

Boy Girl

Latest School Report

Parent and Contact Information

Religion *

SDA Other

Religion *

SDA Other

Statistical Information

New Entrant Information

Birth Certificate must be sighted

General Information

CONDITIONS OF ENROLMENT

Statement of application for enrolment on behalf of 

Conditions

I/We the undersigned accept as conditions of enrolment that:

1. The student/s named herein will participate in the general school programme and demonstrate commitment to our school values and programmes that gives Wellington Seventh-day Adventist School its Special Character.
2. As a condition of attendance at Wellington Seventh-day Adventist School, I /We will pay Attendance Dues as determined from time to time by the Proprietor and approved by the Minister of Education.

Filling out your names below is equal to you signing this form

Date Signed *

Date Signed *

PREFERENCE DETERMINATION QUESTIONNAIRE

Wellington Seventh-day Adventist School is a state integrated Christian school. We are able to enrol students from any Christian denomination. We may also enrol a limited number of students from non-Christian backgrounds; These students are referred to as non-preferential. We value all students and welcome applications from diverse backgrounds.

Please answer the following questions as best you can. If you wish to add further information, please write on a separate sheet of paper and attach it below. 

Religious Information

If No

Are you a regular and active church member?

Yes No

Are you prepared to become involved in the life of the school and support the various activities of the school? (worship, Christian outreach, weeks of spiritual emphasis, church programs) *

Yes No

Are you prepared to support the special character of the school by providing a family environment consistent with the Christain aims and ideals of the school? (church attendance, family worship, prayers, healthy lifestyle, Bible reading) *

Yes No

EMERGENCY DETAILS

This must be completed, along with the Health Profile, by all adult and student participants in school activities and events, to comply with school health and safety requirements, and to enable the school to ensure that optimal staffing levels are provided, the specific needs of participants are met, and the educational value and safety of school activities and events are maximised.

Date of Birth *

Emergency Contact Details

Please provide at least two sets of contact details below that are not already covered on the Family part of this form.

Date *

HEALTH PROFILE

Please choose all that your child suffers from

Migraine Epilepsy Asthma Diabetes Travel Sickness Fits of any kind Chronic Nose Bleeds Heart Condition Dizzy Spells Colour Blindness Other - Specify below.

Is your child currently taking medication? If Yes please fill out the next set of 4 questions *

Yes No

Is your child allergic to any of the following? Please specify and state the treatment.  Please put N/A if not relevant. (The form will not send if you do not do this)

When was your child's last tetanus injection?

Is there any information the staff should know to ensure the physical and emotional safety of your child? (For example, cultural practices, disability, anxiety about heights/darkness/small spaces, behaviour or emotional problems) *

Yes No

Please tick the following where applicable:

I agree that if prescribed medication needs to be adminstered, a designated adult will be assigned to do this. I will ensure the medication is clearly labelled, securely fastened and handed to the designated adult with instructions on its administration.

Yes

I will inform the school as soon as possible of any changes in the medical condition or other circumstances during the year.

Yes

I agree to my child receiving any emergency medical, dental, or surgical treatment, including anesthesia or blood transfusion, as considered necessary by the medical authorities present.

Yes

Any medical costs not covered by ACC or a Community Service Card will be paid by me.

Yes

To be read and signed by a legal guardian.

Date signed

PERMISSION TO PICK UP STUDENTS

This is permission for the named people to pick up the following students.

 

The following people are authorised to pick up the above-named students

Date Signed *

Thank you to Tairangi School and Whaea Rona for this Kawa of Care which we have adapted to suit our school

Our Commitment to Pay Attendance Dues

This enrolment document is a legal contract between the New Zealand Seventh-day Adventist Schools Association Limited as the Proprietor and the Person(s) Accepting Responsibility for the Payment of Attendance Dues.

Family Details

As the person(s) enrolling the student(s), I (we) accept responsibilty for the payment of all dues, and have read and accept the conditions of enrolment as set out in the next section of this form.

Yes

Date Signed *

Date Signed *

Account Payer's Details

I agree to pay the attendance dues for students on this form for the full duration of their enrolment at the Wellington Seventh-day Adventist School.

Yes

Date Signed *

Students Details

Kindly provide the details of all students in your family who are currently enrolled at Seventh-day Adventist Schools in New Zealand.

With this list please provide each students Legal Surname, Legal Given Name(s) (place preferred name in brakets), their year level, Date started and School Code (see below for these codes)

PLEASE READ OUR CONDITIONS OF ENROLMENT CAREFULLY BEFORE SIGNING ON IN THE PREVIOUS SECTION

Having applied for enrolment at a New Zealand Seventh-day Adventist Integrated School, I understand the following Terms and Conditions:

1. Attendance at a Seventh-day Adventist School is conditional upon the payment of Attendance Dues.
2. Payment of Attendance Dues is due at the commencement of each school term.
3. Attendance Dues will be invoiced for each student in Term 1, or on enrolment:

   a. Years 1 - 8: $660 per Year (i.e. $165.00 per term, or $15.00 per school week)

   b. Years 9 - 12: $920 per year ($230.00 per term, or $20.91 per school week)

4. Accounts in arrears at the end of the term may result in exclusion.
5. Payment plans can be applied provided the account is up to date by the end of each term.
6. Failure to maintain payment plans up to date may result in exclusion.
7. The parent or caregiver who enrols the student is ultimately responsible for payment. Where another person or organization is paying the Attendance dues, they must agree to do this by signing in the appropriate section of this form.
8. Any costs, commissions, disbursements, and legal fees incurred in the course of The Proprietor recovering outstanding Attendance Dues, will be recovered from the account payer.

I understand that the information given in this form may be disclosed to The Proprietor, or his/her agent for the purposes of collection of Attendance Dues and any other purposes provided for or envisioned in law as promulgated in the Privacy Act (2020)

I have read, understood, and agree to comply with all terms and conditions as contained in this document-

• As Parent/Caregiver/Guardian please sign in the section provided.
• If a sponsorship or scholarship arrangement is in place, please sign in the appropriate section for this.

 

My Payment Plan Agreement Form

Purpose of this Application

By electing to enrol your child in an Adventist school and filling in this form, you are committing to making regular payments towards Attendance Dues. This application is aimed at creating a reasonable, workable schedule for the payment of the Attendance Dues which are your legal obligation.

***Please ensure that you complete all questions below***

Personal Details of Applicant

Account Details

I commit to pay (see payment Plan Guidelines below)

 

Tick only one and then fill in the amount you commit to pay. *

Weekly Fortnightly Monthly Per Term

Payment will be made by: (Choose one method of payment) *

Processing Direct Debit or Automatic Banking Regular Cash Payments to the school Electronic payment to the Proprietor

Date of First Payment *

Date signed *

Enrolment in the school cannot be confirmed until this signed form has been received by the school.

Payment Plan Guideline

All payments of Attendance Dues are to be made to the New Zealand Seventh-day Adventist Schools Association and are due at the commencement of each school term.

We reserve the right to direct your child's principal to cancel enrolment for the next school term where Attendance Dues are not up to date.

Attached is the schedule which is intended to assist you to budget for the cost of Attendance Dues - based on the total number of 'School weeks."

 

 

 

 

Electronic Banning Payments are to be made to:

• The NZ SDA Schools Association - (Bank account number 030175 0182096 02)
• Use your Account Reference (See Account Code above and Student Last Name as reference)

 

Enrolment Pack Information

Documentation Requirements for New Entrants / Year 1 Students

Please also provide copies of the following.

If you are unable to attache copies here then you will need to bring them in to the school office.

Birth Certificate

Passport Copy

Visas (if applicable)

Immunisation records

• Enrolment Information Form
• Conditions of Enrolment
• Preference Determination Questionnaire
• Commitment to Pay Attendance Dues (CTP Form)
• Payment Plan Application
• Emergency Details
• Health Profile
• Permission Form
• Student Internet and ICT Safety Use Agreement
• Permission for student pickups

Any questions regarding the forms or information we have provided in the pack, please do not hesitate to contact the office on 04 2376282 or email office@wellingtonsda.school.nz

Thank you

• Student and Family - Update Contact Details - maybe included for new Sibling enrolments

*extra forms requred for multiple enrolments