Enrol at Selwyn Ridge School

Child's Name
Preferred Name
Gender
Date of Birth
Place in Family
Address
Primary Contact Name
Relationship
Address
Phone Number
Mobile Number
Email
Occupation
Secondary Contact Name
Relationship
Address
Phone Number
Mobile Number
Email
Occupation
Emergency Contact 1 Name
Relationship
Address
Phone Number
Emergency Contact 2 Name
Relationship
Address
Phone Number
Future Atttendees Name
Gender
Date of Birth
Future Atttendees Name
Gender
Date of Birth
Medical Information - Doctor
Phone Number
Address
Medical conditions - Allergies
Medication
Other
Ethnic Background
Iwi (only required if Maori
Previous School or Pre-School
Address