Enrollment Form

There are 4 Steps to enrol:

Section 1 - Parent/Caregiver Information
Section 2 - Childs Information (enroll up to 5 Children)
Section 3 - Alternative/Emergency contacts and pick up permissions
Section 4 - Payment, Permissions and Terms and Conditions

⚠️ Please Note: Enrolment form only. To book After-School or Holiday Care, please contact the TOA office.

Parent/Caregiver Information

First name

Last name

Mobile/Landline

Work/Alternative Phone

Address

Childs Details

How many children are you enrolling?

Child 1 First Names

Child 1 Last Name

Gender

Child 1 Birthday

Current School

Special Conditions

Child 2 First Names

Child 2 Last Name

Gender

Child 2 Birthday

Current School

Special Conditions

Child 3 First Names

Child 3 Last Name

Gender

Child 3 Birthday

Current School

Special Conditions

Child 4 First Names

Child 4 Last Name

Gender

Child 4 Birthday

Current School

Special Conditions

Additional/Emergency Contacts

Please provide at least two additional contacts who can be contacted in case of an emergency and who you will allow to drop off and pick up your children. Please note alternative contacts must be over the age of 18 and be able to pick up children if the parent or primary cannot.

Alternative/Emergency Contact #1

Phone Number

Relationship to child

Alternative/Emergency Contact #2

Phone Number

Relationship to child

Payment, Permissions and T&C's

Payment

Is there anything else we need to know?

I confirm and agree to the following

I am the legal parent/caregiver of the child/children enrolled

Its ok to use photos of my child/children for display and promotional purpose

I agree to the terms and conditions

Terms & Conditions https://www.toanelson.nz/terms-conditions