Parent's First Name (required)

Parent's Surname (required)

Child's First Name (required)

Child's Surname (required)

Child's Date of Birth (required)

Day or Boarder (required)
DayBoarder

Boy or girl (required)
BoyGirl

Additional Applicants:

Email Address (required)

Postal Address:

Contact me
Yes pleaseNot needed thanks

Contact Phone Number:
If you live outside of New Zealand, Please remember to enter the Country code. eg. for New Zealand country code is 64 and the phone number is 07 855 2089, the number entered would look like: 647 855 2089

Please leave this field empty.

Your Name (required)

Your Phone (required)

Your Email (required)

Description

Please leave this field empty.

Parent's First Name (required)

Parent's Surname (required)

Child's First Name (required)

Child's Surname (required)

Child's Date of Birth (required)

Day or Boarder (required)
DayBoarder

Boy or girl (required)
BoyGirl

Additional Applicants:

Email Address (required)

Postal Address:

Contact me
Yes pleaseNot needed thanks

Contact Phone Number:
If you live outside of New Zealand, Please remember to enter the Country code. eg. for New Zealand country code is 64 and the phone number is 07 855 2089, the number entered would look like: 647 855 2089

Please leave this field empty.