Enrolment Form

Online Student Enrolment Form

Please complete the form below and attach the required documents.

Christian Name

Christian name normally used

Surname

Home Address

Rapid Number

Home Telephone

Your email

Nationality

New Zealand Resident

Yes

Ethnicity

Tick one

Maori

European

Other

If other, please specify

Iwi

Gender

Tick one

Male

Female

Other members of family attending EOHS:

School Bus Route

Birth Certificate Number

Sighted

Date of Birth

Previous School

Level (7-13)

Students Mobile Phone Number

EOHS House

Tick one if you have a preference

Clark

Muir

McKenzie

School

Lunch

Tick one

Home

School

Year 13

Family Doctor

Health Comments

Complete this ONLY if the circumstances are unusual.

Can take Panadol

Yes

Can take Ibuprofen

Yes

Please state if there are any custody issues/ court orders pertaining to access to your child

Yes

If yes, please state details

Mother's Name

Occupation

Business Phone

Mother's Address

Mobile Phone

Father's Name

Occupation

Business Phone

Father's Address

Mobile Phone

Who is your Legal Guardian?

Tick one

Mother

Father

Both Parents

Other

If other, please specify

Emergency Contact Name

Emergency Contact Address

Emergency Contact Phone

Relationship to Student

i.e. grandparent, aunt, neighbour

Agreement

Please sign each section below.

1. I agree that my son/daughter will: -

(a) Abide by the school rules.

(b) Wear the correct school uniform as specified.

d) Be provided with stationery and other equipment as specified by the school.

(e) Take care of text/library books issued and return them to school as required.

(f) Abide by the rules set out in the school’s Internet Safety Policy.

Signed

2. I/We will endeavour to pay the school fees as set each year and comply with all other matters concerning the school as set out in the prospectus.

Signed

3. I/We recognise that from time to time students will take part in activities outside the school complex. For the purposes of these activities, the venue is regarded as part of the school’s operation and is covered by the same systems for dealing with Health and Safety matters.

Signed

4. I/We agree to photos taken of groups/individual students including my child can be published in the school newsletter, magazine, or school website for promotional purposes.

Signed

Date

OFFICE USE ONLY

Class

Enrol Updated

Date enrolled

EAST OTAGO HIGH SCHOOL CYBERSAFETY USE AGREEMENT FORM FOR STUDENTS:

To the student, and the parent/legal guardian/caregiver

Please read this page carefully, to check you understand your responsibilities under this agreement
Sign the appropriate section on this form
Detach and return this form to the school office
Keep the document for future reference, as well as the copy of this signed page which the school will provide.

We understand that East Otago High School will:

do its best to keep the school cybersafe, by maintaining an effective cybersafety programme. This includes working to restrict access to inappropriate, harmful or illegal material on the Internet or school ICT equipment/devices at school or at school-related activities, and enforcing the cybersafety regulations and responsibilities detailed in use agreements
keep a copy of this signed use agreement form on file
respond appropriately to any breaches of the use agreements
provide members of the school community with cybersafety education designed to complement and support the use agreement initiative
welcome enquiries from students or parents about cybersafety issues. Mr. Fleury is the Network and cyber safety Manager here at East Otago High School.

Students Section

My responsibilities include:

- I will read with my parents/caregivers, this Secondary Student Cybersafety Use Agreement document carefully.
- I will follow the cybersafety rules and instructions whenever I use the school's computer network, Internet access facilities, computers and other school ICT equipment/devices
- I will also follow the cybersafety rules whenever I am involved with privately-owned ICT devices/equipment on the school site or at any school-related activity, regardless of its location
- I will avoid any involvement with material or activities which could put at risk my own safety, or the privacy, safety or security of the school or other members of the school community
- I will take proper care of computers and other school ICT equipment/devices. I know that if I have been involved in the damage, loss or theft of ICT equipment/devices, my family may have responsibility for the cost of repairs or replacement
- I will ask the relevant staff member if I am not sure about anything to do with this agreement. I have read and understand 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.

Name of Student

Signature

Date

Section for parent/legal guardian/caregiver

My responsibilities include:

- I will read this Secondary Student Cybersafety Use Agreement document carefully and discuss it with my son/daughter so we both have a clear understanding of my child's role in the school's work to maintain a cybersafe environment
- I will ensure this user agreement is signed by my child and by me and returned to the school
- I will encourage my son/daughter to follow the cybersafety rules and instructions
- I will contact the school if there is any aspect of this user agreement I would like to discuss. I have read this Cybersafety Use Agreement document and am aware of the school's initiatives to maintain a cybersafe learning environment, including the responsibilities involved.

Please select one

Name

Signature

Date

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