In Zone Pre-Enrolment Form – Pukekohe East School

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In Zone Pre-Enrolment Form
Welcome to Pukekohe East School. Pukekohe East School currently has an Enrolment Scheme in place (please refer to zoning information below). If you are living out of zone, please complete the Out of Zone Ballot Application form. If you are living within our school zone, please complete the following: Please include all siblings to enable us to manage future roll growth.
Name of First Child*
Date of Birth*
Expected Start Date*
Current Year Level if already at school
Name of Second Child
Date of Birth
Expected Start Date
Current Year Level if already at school
Name of Third Child
Date of Birth
Expected Start Date
Current Year Level if already at school
Name of Fourth Child
Date of Birth
Expected Start Date
Current Year Level if already at school

Parents/Caregivers Names:*
Prefix First Last
Parents/Caregivers Names:*
Prefix First Last
Address
Street Address ZIP / Postal Code
Contact Numbers (Home):
Contact Numbers (Home):
Contact Numbers (Work):
Contact Numbers (Work):
Contact Numbers (Mobile):
Contact Numbers (Mobile):
Email
Email
Thank you for enrolling your child at Pukekohe East School. Confirmation will be sent to you.