Online Enrolment – International Learners Please Note: Maximum File Size is 8MB. Parent /Legal Guardian of the International Learner to complete this section:Name of Student* First Last Date of Birth* DD slash MM slash YYYY Ethnicity* Gender* Male Female Length of time International Student wishes to enrol at Long Bay PrimaryFrom* DD slash MM slash YYYY To* DD slash MM slash YYYY Parent/Legal GuardianThe Student named above MUST be living with a parent or legal guardian? If living with another family member who is acting as a guardian, a legal guardianship document must be provided. Status* Parent Legal Guardian Legal Guardianship Document*Accepted file types: jpg, png, pdf, doc, docx, Max. file size: 8 MB.Parent/Legal Guardian Name* Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Last Parent/Legal Guardian Contact No.*Parent/Legal Guardian Mobile No.*Parent/Legal Guardian Email* Parent/Legal Guardian Address* Street Address Address Line 2 City Suburb Post Code Other Student DetailsDoes your child have any other siblings currently attending Long Bay Primary School?(Please provide details)Does your child have a sibling who used to attend Long Bay Primary?(If so, please state whom, give their enrolled name and the last year they attended)What Pre-school institution has your child attended?How long has your child been attending school?Please note if your child may require any additional learning or classroom support. What involvement has your child had in any special programmes at pre-school/school?Does your child have any behavioural issues, which could have an impact at school? If so, please advise. If this is not disclosed this could possibly annul the enrolment application.(Parents/Caregivers are obliged to disclose any issues that may affect the child’s safety and wellbeing)Does your child have any allergies or medical condition, which could have an impact at school?(parents/caregivers/agents are obliged to disclose any issues that may affect the child’s safety and wellbeing)What is your child’s first language? What language is spoken at home? Will your child require support as an English language learner? Yes No What is currently your child’s favourite activity? How would you describe your child’s attitude to school and learning?Is there anything else you would like us to know?Emergency ContactEmergency Contact Name* Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Last Emergency Contact Address* Street Address Address Line 2 City Suburb Post Code Emergency Contact Contact No.*Emergency Contact Mobile No.*HealthAll International Learners enrolled at Long Bay Primary School must be in good health and have valid Medical and Travel Insurance for the duration of their stay. Does the International Learner (named above) have good health?* Yes No What type of Medical and Travel Insurance does the International Learner have for the duration of his / her time of study in New Zealand? Policy No. Parent / Legal Guardian to complete: Long Bay Primary School aims to meet the learning needs of students enrolled at our school. It is important that learning and support needs are disclosed on this application form. Does the International Learner (named above) have any special learning or behavioural needs?* Yes No Details if applicable:I have been informed about and received a summary of the Code of Practise for International Learners*Please click here for a copy of the Code of Practise for International Learners Yes I have received a copy of the Long Bay Primary School policy regarding International Learners.*Policy Documents: Fee Paying Policy, Medical and Travel Insurance Policy Yes DocumentsBirth Certificate*Accepted file types: jpg, png, pdf, doc, docx, Max. file size: 8 MB.Parents/Legal Guardian Passport*Accepted file types: jpg, png, pdf, doc, docx, Max. file size: 8 MB.Student Passport*Accepted file types: jpg, png, pdf, doc, docx, Max. file size: 8 MB.Immunisation Records*Accepted file types: jpg, png, pdf, doc, docx, Max. file size: 8 MB.Previous School Reports*Accepted file types: jpg, png, pdf, doc, docx, Max. file size: 8 MB.Other Suppporting DocumentsAccepted file types: jpg, png, pdf, doc, docx, Max. file size: 8 MB.ConsentConsent* Select All I have read, understood and accept the policies, rules and procedures regarding International Learners at Long Bay Primary School and agree to abide by them. I understand that I will need to provide original passport copies (for both the International Learner enrolling and their Guardian) and proof of health and travel insurance when enrolling. I agree that all disputes will be dealt with in accordance with New Zealand law. I confirm that all the information contained in this application is true and correct to the best of my knowledge and belief. I will inform the school if there are any changes to the details of this application. I confirm the International Learner will live with a parent or legal guardian for the duration of their study. Please write your full name as form of digital signature.* Date* DD slash MM slash YYYY CAPTCHACommentsThis field is for validation purposes and should be left unchanged.