Online Enrolment

Please note maximum Total file size allowed on this form is 8 MB.

Student Details
Student's Name*
First Last
Student's Preferred Name
First Last
Date of Birth*
DD slash MM slash YYYY
Gender*
- Male
- Female
- Other
If "Other", please specify*
Present Year Level
Previous School
Proposed Start Year
Proposed Start Level
Church Affiliation
Address*
Street Address Address Line 2 City Suburb Post Code
Ethnicity
Iwi/Hapu
Affiliation
Ethnic Group/s*
Language Spoken at Home*
Country of Birth*
Country
Nationality*
Country
Additional Questions
Why do you want to enrol your child at ECA?
What is your understanding of Christian Education?
How will you as parents or guardians of the applicant support the policies and activities of the school?
Where did you hear about our school?
If no place is immediately available for the applicant are you prepared to be placed on a waiting list?
Parent/Caregiver Details (1)
Name*
Prefix First Last
Date of Birth*
DD slash MM slash YYYY
Primary Caregiver*
- Yes
- No
Relationship to Student*
Address*
Same as Student Home Address

Street Address Address Line 2 City Suburb Post Code
Occupation*
Email*
Home Phone
Work Phone
Mobile Phone*
Parent/Caregiver Details (2)
Name
Prefix First Last
Date of Birth
DD slash MM slash YYYY
Primary Caregiver
- Yes
- No
Relationship to Student
Address
Same as Student Home Address

Street Address Address Line 2 City Suburb Post Code
Occupation
Email
Home Phone
Work Phone
Mobile Phone
Emergency Contact (1)
Name*
Prefix First Last
Relationship to Student*
Address*
Street Address Address Line 2 City Suburb Post Code Country
Home Phone
Work Phone
Mobile Phone*
Emergency Contact (2)
Name*
Prefix First Last
Relationship to Student*
Address*
Street Address Address Line 2 City Suburb Post Code Country
Home Phone
Work Phone
Mobile Phone*
Health
Allergies
Medication
Hearing
Vision
Speech
Other Health Issues
Special Learning and Behavioural Needs
Immunisation*
- Yes
- No
Medical Center Name*
Doctor's Name*
Doctor's Phone*
Doctor's Fax
Doctor's Address
Street Address Address Line 2 City Suburb Post Code Country
Custody/Access Arrangements
Court Order Issued*
- Yes
- No
Court Order Documents
Accepted file types: jpg, png, pdf, doc, docx, Max. file size: 8 MB.
Access Arrangement
Early Childhood Education
Prior-Participation in Early Childhood Education
Please select (up to 3 services) for the last Early Childhood Education service(s) attended in the six months prior to starting school
- Kohanga Reo
- Play Center
- Kindergarten or Educations and Care Centre
- Home based service
- Playgroup
- The Correspondence School - Te Aho Te Kura Pounamu
Hours per Week at Kohanga Reo*
Hours per Week at Play Center*
Hours per Week at Kindergarten or Educations and Care Centre*
Hours per Week at Home based service*
Hours per Week at Playgroup*
Hours per Week at The Correspondence School - Te Aho Te Kura Pounamu*
Documents
Proof of in zone address*
Council rates, water care, electricity bill etc.
Accepted file types: jpg, png, pdf, doc, docx, Max. file size: 8 MB.
Copy of previous school report
Accepted file types: jpg, png, pdf, doc, docx, Max. file size: 8 MB.
Student's Birth Certificate/Passport*
If student is a New Zealand citizen
Accepted file types: jpg, png, pdf, doc, docx, Max. file size: 8 MB.
Student's Passport*
If student is not a New Zealand citizen.
Accepted file types: jpg, png, pdf, doc, docx, Max. file size: 8 MB.
Parent's Passport*
If student is not a New Zealand citizen.
Accepted file types: jpg, png, pdf, doc, docx, Max. file size: 8 MB.
Parent's Visa*
If student is not a New Zealand citizen.
Accepted file types: jpg, png, pdf, doc, docx, Max. file size: 8 MB.
Immunisation Documents*
Accepted file types: jpg, png, pdf, doc, docx, Max. file size: 8 MB.
Additional Fields
Please record any siblings likely to be attending ECA in the future
Account Information
Name*
Prefix First Last
Day Phone*
Evening Phone*
Mobile Phone*
Email*
Billing Address
Same as Student's Address

Street Address Address Line 2 City Suburb Post Code Country
Declaration of Commitment
I/We hereby make application for the aforementioned child in our care, the ‘Applicant’, to be enrolled at Eden Christian Academy. In making this application, we agree to;
- Support the objectives of Eden Christian Academy as described in the Prospectus and accept all conditions contained therein.
- Help the applicant to abide by the school rules and support the Policies of Eden Christian Academy, including ensuring that the applicant completes all homework assigned each night.
- Give the greater of 10 calendar weeks or one school terms advance notice in writing of our intention to withdraw the applicant from Eden Christian Academy. We understand that failure to give this notice will incur a result in a Term Notice Fee being payable within 7 days of the applicants withdrawal from school.
- Be interviewed, together with the applicant, by the Principal and to have the applicant tested to determine his / her level of attainment.
- Pay overdue interest on all outstanding account balances, calculated using the current daily overdraft rate of BNZ Bank against the outstanding account balance of our account.
- Payment of collection and other costs associated with recovery of any monies owing under this agreement.
- Additional costs will be incurred for subjects such as technology, school trips / camps, and external examination fees (as set by the University of Cambridge). The fees for these will be invoiced as soon as the amount is known at the time of the event.
Note
1. If an interview is required, the school office will contact you to arrange a suitable time. Your son/daughter should accompany
  you to the interview.
2. Pursuant to the Privacy Act 1993 the following is brought to you attention:
  - This application form collects personal information about you and your child.
  - Following enrolment fee being paid by the parents/guardians, records held by previous schools will be requested.
  - The information is collected in relation to the education services Eden Christian Academy provides.
  - This information may be passed to government agencies in statistical form as required by the Education Act 1993, and
    other statutory requirements.
  - You have rights of access to and correction of the information subject to the provision of the Privacy Act 1993
Signature
By signing this below, I confirm that the information given in this form is true, complete and accurate.
Full Name*
Date*
DD slash MM slash YYYY
CAPTCHA
Phone
This field is for validation purposes and should be left unchanged.

Student Details

Ethnicity

Additional Questions

Parent/Caregiver Details (1)

Parent/Caregiver Details (2)

Emergency Contact (1)

Emergency Contact (2)

Health

Custody/Access Arrangements

Early Childhood Education

Documents

Additional Fields

Account Information

Declaration of Commitment

Signature

Contact

Quick Links

2023 Term Dates