Te Kura Maninirau Interest form

1
Your Name (Guardian)* This field is required.
First Name
Last Name
2
Your Email* This field is required.
example@example.com
3
Your Phone Number* This field is required.
Please enter a valid phone number.
4
Student information* This field is required.If enrolling more than one student, please enter the first students information and then proceed to the next.
Students first name
Students last name
Any medical conditions that we need to know of
Your relationship to the student
What are their pronouns?
Birthdate and current age
What kura do they currently attend?
5
What is their iwi?* This field is required.If unknown, please enter as unknown.
Huge
Large
Normal
Small
Ok
Ok
6
Please indicate this students level of fluency in te reo Māori* This field is required.
None/Beginner
Basic
Intermediate
Fluent
Native speaker
7
What class(es) are you enrolling this student in?* This field is required.Please select one
SATURDAY: 12pm-1.30pm, Ellerslie War Memorial Hall
SUNDAY: 10am - 11.30am, Te Atatū Peninsula Community Centre
SUNDAY: 11.30am - 1pm, Te Atatū Peninsula Community Centre
8
Are you enrolling another student?* This field is required.
YESNO
9
Student #2 information* This field is required.
Students first name
Students last name
Any medical conditions that we need to know of
Your relationship to the student
What are their pronouns?
Birthdate and current age
What kura do they currently attend?
10
What is their iwi?* This field is required.If unknown, please enter as unknown.
Huge
Large
Normal
Small
Ok
Ok
11
Please indicate this students level of fluency in te reo Māori* This field is required.
None/Beginner
Basic
Intermediate
Fluent
Native speaker
12
What class(es) are you enrolling this student in?* This field is required.
SATURDAY: 12pm-1.30pm, Ellerslie War Memorial Hall
SUNDAY: 10am - 11.30am, Te Atatū Peninsula Community Centre
SUNDAY: 11.30am - 1pm, Te Atatū Peninsula Community Centre
13
Are you enrolling another student?* This field is required.
YESNO
14
Student #3 information* This field is required.
Students first name
Students last name
Any medical conditions that we need to know of
Your relationship to the student
What are their pronouns?
Birthdate and current age
What kura do they currently attend?
15
What is their iwi?* This field is required.If unknown, please enter as unknown
Huge
Large
Normal
Small
Ok
Ok
16
Please indicate this students level of fluency in te reo Māori* This field is required.
None/Beginner
Basic
Intermediate
Fluent
Native speaker
17
What class(es) are you enrolling this student in?* This field is required.
SATURDAY: 12pm-1.30pm, Ellerslie War Memorial Hall
SUNDAY: 10am - 11.30am, Te Atatū Peninsula Community Centre
SUNDAY: 11.30am - 1pm, Te Atatū Peninsula Community Centre
18
Is there anything else we need to know?
Huge
Large
Normal
Small
Ok
Ok
19
Health and Safety Wavier* This field is required.
Should be Empty: