Enrolment -

Thank you for your interest in Whakatane High School for your child's education.

Please work through the enrolment form, providing as much detail as possible. Once you have submitted your enrolment, please proceed to book an enrolment interview at www.schoolinterviews.co.nz using the booking code jkeqd.

If you are enrolling an out-of-zone student, you will need to have completed your enrolment INCLUDING having an interview, by October 25 to ensure you are included in the Out-of-Zone Ballot on 26 October (if required). If you are unsure whether you fall within our school zone, please check this website www.educationcounts.govt.nz/find-school

The start date for Year 9 students is 31 January 2024.

Read this Cybersafety Agreement, and ensure you agree at the bottom of the enrolment form.

We look forward to welcoming you to Whakatane High School in 2024.

Enrolment Information

Starting date for Year 9 students in 2024 is 31 January 2024.

Intended Start Date *

Day

Month

Year

Start Year Level

The student's academic year level at entry

Student Details

Student Legal Name *

First name

Middle name/s

Last name

Please enter the student's legal name as it appears on their Birth Certificate.

Preferred Name

First name

Middle name/s

Last name

Date of Birth *

Day

Month

Year

Gender

Select gender

Country of Birth *

Country or Jurisdiction of Citizenship *

Language Spoken at home *

Ethnicity * Select up to three options

Iwi

Previous School

The name of the school currently being attended

Residence A / Primary Contact Details*

Address *

Please type your primary residence addresss in the above address search

Flat/Unit

Street number and name

Rural Delivery

Suburb

Post Code

Town/City

Residence A - Caregiver 1

Full Name *

Email *

e.g. dsmith@gmail.com

Phone (Mobile) *

e.g. 022 123 4567

Phone (Home)

e.g. 07 123 4567

Phone (Work)

e.g. 07 123 4567

Occupation

e.g. Teacher at Whakatane High School

Relationship

Relationship to the student

Residence A - Caregiver 2

Name

e.g. bsmith@gmail.com

Phone (Mobile)

e.g. 022 123 4567

Phone (Home)

e.g. 07 123 4567

Phone (Work)

e.g. 07 123 4567

Occupation

e.g. Teacher at Whakatane High School

Relationship

Relationship to the student

Student has another residence Please tick if the student resides at another address at times

Residence B / Alternative Contact Details

Address *

Please type your alternate residence addresss in the above address search

Flat/Unit

Street number and name

Rural Delivery

Suburb

Post Code

Town/City

Residence B - Caregiver 1

Name

e.g. Father's name

e.g. dsmith@gmail.com

Phone (Home)

e.g. 07 123 4567

Phone (Work)

e.g. 07 123 4567

Phone (Mobile)

e.g. 022 123 4567

Occupation

e.g. Teacher at Whakatane High School

Relationship

Relationship to the student

Residence B - Caregiver 2

Name

e.g. Step-Mother's name

e.g. dsmith@gmail.com

Phone (Home)

e.g. 07 123 4567

Phone (Work)

e.g. 07 123 4567

Phone (Mobile)

e.g. 022 123 4567

Occupation

e.g. Teacher at Whakatane High School

Relationship

Relationship to the student

Health Details

Please download the medical information form, and medical consent form (if your student requires medication), fill out, then upload in the attachments section of this enrolment. Alternatively, you can bring these with you to your enrolment interview.

Doctor Name

Health Notes

List any medical problems including hearing, allergies and diagnosed conditions

Additional Support Required

List any additional learning support, needs or requirements this student may have

Allowed Paracetamol

1 tablet

2 tablets

Allowed Ibuprofen

Yes

Emergency Contact

Emergency Contact 1

Contact Name *

Mobile Phone *

e.g. 022 123 4567

Home Phone

e.g. 07 123 4567

Occupation

e.g. Teacher at Whakatane High School

Relationship to Student *

e.g. Grandmother

Emergency Contact 2

Contact Name

Home Phone

e.g. 07 123 4567

Mobile Phone

e.g. 022 123 4567

Occupation

Relationship to Student

e.g. Grandfather

Special Interests

SPORT/MUSIC

Do you play sports? If so, please let us know below, which sport.

Do you play an instrument? If you do, please let us know in the cultural/arts section below.

Please also let us know of any other hobbies, awards or interests.

Academic

Awards

Sports

Cultural/Arts

Hobbies

Languages

Attachments

Please upload all documents to support your application (or bring them to your enrolment interview).

Medical forms
Birth Certificate
Proof of address

NB. If the student is not born in NZ please bring with you to your enrolment interview, or attach here, the student's visa or residency certificate.

Attachments

Select only Images, PDFs or Word Documents.
Maximum file size: 8MB's

School Questions

Will you travel to school by bus? If so, which bus?

Do you want to be considered for our Te Aka Mātua class?

Do you want to be considered for our Pūāwaitanga/ALP class?

Agreements

Out-of-zone

Whakatane High School has a specific enrolment zone (found at the top of this enrolment form). Each year, the Board decides on the number of out-of-zone enrolments the school will accept. If we need to go to ballot, this will be done on 26 October 2023.

To help us prepare for this, please advise if you fall outside of our enrolment zone, by ticking 'I agree' below (if you are within our school zone, please leave this un-ticked).

To be considered for an out-of-zone place, your application must be received and you MUST have had an enrolment interview before 26 October 2023.

I agree

Cybersafety Caregiver Agreement *

CAREGIVER AGREEMENT (Please read full agreement - link at top of enrolment form)
I have read the Cybersafety Use Agreement document and am aware of the school’s initiatives to maintain a cybersafe learning environment, including the responsibilities involved.

I agree

Cybersafety Student Agreement *

STUDENT AGREEMENT (Please read full agreement - link at top of enrolment form)
I have read and understood my responsibilities and agree to abide by this Cybersafety Use Agreement. I know that if I breach this use agreement, there may be serious consequences.

I agree

Chromebook Management Opt-Out

I agree to opt-out of the school’s Chrome Management protocol for my child's device, after 3pm during school days.

I acknowledge and understand that from 3pm, on school days, the school’s sign-in restrictions will not apply to this Chromebook and therefore the device will have open access to the internet.

I understand that once my child returns to school, the Chrome Management protocol will be reactivated.

I agree

Google Blogger

I/we authorise our child to use Google Blogger (a blogging tool) as part of their learning tools, in the event that they are not aged 13 years old when the tool is required.

I agree

Education Outside the Classroom (EOTC) *

STUDENT AGREEMENT

I understand that these events are opportunities for me to learn, practise skills and develop positive attitudes and values in an environment outside the classroom. I realise that this requires me to take responsibility for my own learning, and support the learning and safety of others.

I agree to do the following to make this happen: 
• Show courtesy and consideration to others 
• Follow the rules and instructions of staff and other supervisors at the event 
• Take part in all activities expected of me 
• Look after myself and my personal belongings 
• Take care of and return any school property issued to me 
• Declare medical conditions that could affect my participation in the event 
• Accept the rules set by the school for the event, even if they are different from what is expected at home 
• I will ask permission from students, staff and anyone on the school trip when taking, using or posting images or videos and will comply with the school’s cybersafety rules at all times. 

I understand that my parents or caregivers will be contacted and I may be sent home at their expense if: 
• My actions are considered unacceptable by staff 
• My actions put me or others in danger

I agree

Family Agreement *

In filling out this enrolment, you are agreeing to the following:

I/We agree to abide by the values of Whakatane High School

I/We agree to pay for applicable subject, trip and sports fees

In the event of sickness and accident emergencies, when staff are unable to contact caregivers, I/we authorise the obtaining, on my/our behalf, of any medical assistance if, in the opinion of staff, such treatment is necessary. I agree to meet any costs incurred

I/We confirm the address, which I/we have provided in this application to enrol, will be the usual place of residence for the enrolled student when the school is open for instruction. I/We will advise the school of any subsequent change of address

I/We give permission for Whakatane High School to use images, videos or work produced for school promotional purposes. However, if you would prefer your child didn't appear in any of our promotional material (ie. FB, Instagram or our prospectus) please email admin@whakatanehigh.school.nz

I/We agree to Whakatane High School accessing previous school records and sharing information for educational purposes

I/We have read and understood the statement regarding the Privacy Act 2020 and information sharing between Government Agencies and have familiarised ourselves with the School Policies located at www.schooldocs.co.nz

I/We confirm that the information contained in this application is true and correct in every respect

I agree

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