Enrolment Form for new students - Timaru Boys High School
Enrolment Form for new students - Timaru Boys High School
Enrolment Form for new students - Timaru Boys High School
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Family / <strong>School</strong> Links (Past / Present) _______________________________________________________________Preferred House (Dawson / Hogben / Simmers / Tait __________________________________________________Student’s Academic Interests & AchievementsSporting and Cultural Interests of the StudentSkills / Support Family can offer school(e.g. assist with volunteer help, transport, PTA, coaching, etc) __________________________________Student’s Health RecordDoctor:Surgery Phone Number:Dentist:Surgery Phone NumberHas the student ever suffered from Severity Medication RequiredAsthma (Circle one) Yes/NoDiabetesYes/NoEpilepsyYes/NoADD / ADHDYes/NoMigraineYes/NoAny other medical condition or disability?Does the student suffer an allergic reaction toAllergy to: Severity Medication RequiredStingsFoodMedicationOther:In Case of Illness, Accident or EmergencyI give permission <strong>for</strong> my child to receive non prescription medicines such as Panadol, whennecessary, from a staff member who holds a current First Aid CertificateIf the school is unable to contact you, or if the accident is serious, I give permission <strong>for</strong> theschool to either take my child to a Medical Centre or call an ambulance. If an ambulanceis needed <strong>for</strong> a non-accident incident I agree to meet any costs incurred.Yes / NoYes/No(Circle one)(Circle one)Rural Bus Student: (Circle) YES / NO If YES please tick Bus Route below.Claremont 7599Opihi/Taiko 7643Southburn 7745Kerrytown 7558Otaio/St Andrews 7688Temuka 7597Levels Valley 7647Pareora East 7686Upper Waitohi 7637Lyalldale 7598Rosewill Valley 7636Waimate 7741Maungati 7689Seadown 7735Waipopo 7687