Enrolment Form

Pupil Details

Name(Required)

First Last

Gender(Required)

Male

Female

Date of Birth(Required)

Ethnicity 1(Required)

Māori

NZ European

Other

Ethnicity 2

Māori

NZ European

Other

Ethnicity 3

Māori

NZ European

Other

If Māori please state iwi:

Home Address(Required)

Street Address Address Line 2 City ZIP / Postal Code Country

Please upload proof of address: electricity, gas, or insurance bill.(Required)

Drop files here or

Max. file size: 32 MB, Max. files: 2.

Home Phone(Required)

Country of Birth(Required)

New Zealand Citizen?(Required)

Yes

Date of arrival in New Zealand if not NZ citizen(Required)

Please upload Birth Certificate or Passport, and child's visa if not an NZ citizen (PDF format)(Required)

Drop files here or

Accepted file types: pdf, Max. file size: 32 MB.

Please upload child's visa (PDF format)(Required)

Drop files here or

Accepted file types: pdf, Max. file size: 32 MB.

School Entry Details

Name of oldest sibling currently attending or if this student previously attending Hillview (if applicable)

Is the child a New Entrant or transferring from another school?(Required)

New Entrant

Transfer Student

Transfer Students

Name of current school(Required)

Current Year Level(Required)

Reason for moving schools(Required)

New Entrants

Proposed Start Date

(this is in line with their 5th Birthday and to be confirmed by the school)

Did your child attend one or more Early Childhood Education service(s) in the six months prior to starting school?

Kōhanga Reo

Playcentre

Kindergarten or Education and Care Centre

Homebase service

Playgroup

The Correspondence school (Te Aho o Te Kura Pounamu)

How long have they been attending?

How many hours per week?

Name(s) of Early Childhood Education Service

Pupil Medical Details

Please list any medical information that the school should be aware of (conditions/allergies etc.)

Doctor Name(Required)

Medical Practice Name(Required)

Practice Address(Required)

Practice Phone(Required)

Please upload child's immunisation certificate (if applicable)

Drop files here or

Max. file size: 32 MB.

Medical Permission

I hereby give permission for the family doctor/ ambulance to be called in an emergency(Required)

Yes

I hereby give permission for Staff to administer paracetamol (if required)(Required)

Yes

If your child requires medication other than paracetamol to be administered while at school, please come to the school office to complete a separate Medication form upon the child’s first day.

Caregiver One Details

Relationship to pupil (Mother/Father/Step Mother etc.)(Required)

Name(Required)

Prefix First Last

Does this caregiver live at the same address as the child?(Required)

Yes

Home Address (if different from the child)(Required)

Street Address Address Line 2 City ZIP / Postal Code Country

Email(Required)

Mobile Phone(Required)

Home Language(Required)

Occupation(Required)

NZ Born?(Required)

Yes

If No, what is your country of birth?

Date entered NZ(Required)

Caregiver Two Details

Relationship to pupil (Mother/Father/Step Mother etc.)

Name

Prefix First Last

Does this caregiver live at the same address as the child?(Required)

Yes

Home Address (if different from the child)(Required)

Street Address Address Line 2 City ZIP / Postal Code Country

Mobile Phone

Home Language

Occupation

NZ Born?

Yes

If No, what is your country of birth?

Date entered NZ

Other Caregiver (Legal Guardians / Caregivers only)

Relationship to pupil (Mother/Father/Step Mother etc.)

Name

Prefix First Last

Does this caregiver live at the same address as the child?(Required)

Yes

Home Address(Required)

Street Address Address Line 2 City ZIP / Postal Code Country

Phone

Do you require a copy of school reports and notifications, including weekly newsletter?

Yes

Custodial Arrangements

If custodial arrangements are in place you will need to provide a copy of any Court Orders pertaining to your child and provide evidence of who has the right to make the decision on the education of your child. If shared custody, the other party must confirm their support of this enrolment by email or letter.

If there are legal custodial arrangements, please state these arrangements

Please upload any relevant documentation

Drop files here or

Max. file size: 20 MB.

Emergency Contact

Please enter the person we can contact in the case of emergency if neither parent/guardian can be contacted.

Name(Required)

Prefix First Last

Relationship to Pupil(Required)

Mobile Phone(Required)

Why Hillview Christian School?

Why would you like your child to attend Hillview and what aspects of education are important to you? Why? (e.g. special character, academic, cultural, social etc)(Required)

Church Details

Pastoral references are required for ALL children. The school will contact the Pastor.

Name of current church attending(Required)

Years attending current church(Required)

Name of Church Pastor / Leader(Required)

Pastor Email(Required)

Phone number(Required)

Special Character Statement

This statement forms part of the Crown Deed of Integration, a copy of which is held at the school office. The text is as follows:

The composite school, Hillview Christian School, was established by the Evangelistic Church of Christ, now South City C3 Church, Christchurch, for the purpose of offering education with a special character in a caring environment to the children of its members, and to children of parents from other churches with a similar Biblical basis of faith and doctrine. The church regards the school as an extension of their Christian fellowship with their members, and with other Christian families where they can exercise their right to live and teach to their children faith in the Lord Jesus Christ as their personal Saviour, and Christian values as revealed in the Bible as an integral part of their general education.

The special character of the school is determined by the Christian beliefs and values held by South City C3 Church, who by resolution of its leadership, continue to have the right to determine from time to time what is necessary to preserve and safeguard the Special Character.

It is the mission of the school to sow into the lives of its children faith in Jesus Christ and foster in their lives Christian values as revealed by God in the Bible so that they may develop into responsible citizens, and fulfil their personal destiny. To this end the school has a daily time for prayer, worship and encouragement, and has Christian staff, who integrate a Christian dimension into their classroom programmes based on Biblical beliefs and values as determined by the pastoral team of South City C3 Church, Christchurch.

This Christian dimension includes: knowledge of God as Father, Creator and Sustainer of all existence. Appreciation of the Lord Jesus Christ as the son of God, and Saviour of mankind recognition of the Holy Spirit’s work in revealing God’s Truth and drawing people to Him. Appreciation of God’s absolute standard in conduct and relationships derived from the Bible and natural moral law, and as expressed traditionally by His Church. Promotion of a balanced lifestyle fostering academic, social, physical and spiritual development through a caring, ordered and disciplined environment. Development of self-discipline which will equip each child to be conscientious, appreciative, co-operative, responsible, and above all to be actively supportive and caring towards others, and the creation about them.

I/We acknowledge this Statement of Special Character agreed between the Proprietor and the Crown is paramount to the life of the school. I/We accept as an essential part of our child/ren being enrolled at Hillview Christian School, to uphold these standards and will not act in any way that will put at risk this Special Character and I/we are happy to affirm our commitment annually as may be required.

I/We agree to the special character commitment(Required)

Yes

Caregiver 1 Signature(Required)

Caregiver 2 Signature

Language and Learning Support

The information that you provide does not affect your application. This information will ensure that your child has a smooth transition to our school if a place is offered.

What is the pupil's first language / mother tongue?(Required)

What other languages can the pupil speak?

Does the pupil currently receive / require English language tuition?(Required)

Yes

Does the pupil have any learning needs e.g. intellectual, physical, social, behaviour disorder etc.?(Required)

Yes

If 'Yes', please provide details and attach any relevant reports to this application form(Required)

Does the pupil have any learning difficulties assessed by an outside agency?(Required)

Yes

If 'Yes', please provide details and attach any relevant reports to this application form(Required)

Has the pupil received funding to support Education?(Required)

Yes

If 'Yes', please provide details and attach any relevant reports to this application form(Required)

Please upload any relevant documentation regarding language and learning support

Drop files here or

Max. file size: 20 MB.

Please outline any identified areas of giftedness/talents – academic, sporting, cultural etc (talents – top 20%, gifted – top 1%)

Parent/Guardian Permissions and Agreement

Permissions

I/We give permission for the child’s name and/or photograph(s) to be included in any regular school newsletters, yearbook, or the school’s social media and website.(Required)

Yes

I/We give permission for email address and cell numbers to be added to our school communication system and Text alert for use of communicating school information and for emergency reasons.(Required)

Yes

I/We give permission for Hillview Christian School to contact the child’s early years provider or previous school for additional information prior to starting school, conditional of a place being offered.(Required)

Yes

I/We give permission for the child to access the internet in line with school policy and the Student Internet User Agreement(Required)

Yes

Permission to participate in EOTC (Education Outside the Classroom) for Category 1 and 2 events:(Required)

Yes

Category 1: Events outside the classroom within the school grounds
Category 2: Off-site events with a very low degree of risk within school hours (museum, gardens etc.)

Agreement

The information provided on this form is true and correct. I/we agree to advise the school of any changes in circumstances so that accuracy and contacts may be maintained(Required)

Yes

I/We agree to pay Attendance Dues and any school activities not covered by the government grant. These will be paid in full by the end of each school year. I/we agree to communicate promptly to school management/proprietors if I/we find ourselves unable to complete these payments. I/we agree to give one terms notice if intending to withdraw from Hillview Christian School. Failure to do this may result in payment of half a terms attendance dues.(Required)

Yes

I/We agree to support and give permission for my child to participate in curriculum/extra-curricular activities.(Required)

Yes

I/We agree to pay any other activity costs that are not covered under the Government Donations Scheme.(Required)

Yes

I/We agree to adhere to the school uniform requirements as outlined in the Handbook, and when purchasing from the school uniform shop, to pay in full at the time of purchase(Required)

Yes

I/We agree to adhere to Hillview Christian School policies and procedures(Required)

Yes

I/We agree to promptly provide all paperwork, conditional of a place being offered and accepted at Hillview, such as NZ Birth, Passport and Visa if not an NZ citizen, Immunisation Certificate and any custodial paperwork (if applicable).(Required)

Yes

Caregiver 1 Signature(Required)

Caregiver 2 Signature