Registration form

To register your child on the waiting list, please complete and submit this form. The kindergarten will contact you to talk about waiting time.

For further information about our Kindergartens please click the following link to download our "Creating Lifelong Learners" booklet

* Required

Title DR MISS MR MRS MS

First Name *

Last Name *

Email Address *

Enter Word Verification in box below *

Child's first names *

Child's family name *

Child's gender * Female Male

Child's date of birth *

Choose which kindergarten you would like to enrol your child in:* Adventure, Porirua City Ascot Park, Porirua City Bellevue, Wellington North Berhampore, Wellington South Betty Montford, Levin / Kapiti Brian Webb, Wellington North Brooklyn, Wellington South Cambridge Street, Levin / Kapiti Campbell, Wellington Central / Petone Churton Park, Wellington North Discovery, Porirua City East Harbour, Wellington Central / Petone Hataitai, Wellington South Island Bay - Kura Pepe, Wellington South Island Bay - Kura Tamaiti, Wellington South Isola Pre Entry Group, Wellington South Johnsonville Full Day, Wellington North Johnsonville West, Wellington North Karori (previously Wrights Hill), Wellington Central / Petone Katoa, Porirua City Khandallah, Wellington Central / Petone Lyall Bay, Wellington South Maraeroa, Porirua City Matairangi Community, Wellington South Miramar Central, Wellington South Miramar North, Wellington South Moira Gallagher, Porirua City Mungavin, Porirua City Newlands, Wellington North Newtown, Wellington South Ngahina, Levin / Kapiti Ngaio, Wellington Central / Petone Northland, Wellington Central / Petone Nuanua, Porirua City Onslow, Wellington Central / Petone Otaki, Levin / Kapiti Owhiro Bay, Wellington South Papakowhai, Porirua City Paparangi, Wellington North Paraparaumu, Levin / Kapiti Paremata, Porirua City Parsons Avenue, Levin / Kapiti Petone, Wellington Central / Petone Petone Beach, Wellington Central / Petone Pikopiko Clyde Quay, Wellington Central / Petone Plimmerton, Porirua City Pukerua Bay, Porirua City Pukerua Bay Pre School, Porirua City Raumati Beach, Levin / Kapiti Raumati South, Levin / Kapiti Seatoun, Wellington South Strathmore Park, Wellington South Sunshine, Wellington Central / Petone Tairangi, Porirua City Taitoko, Levin / Kapiti Tawa Central, Wellington North Toru Fetū 1, Porirua City Toru Fetū 2, Porirua City Tai Tamariki (Te Papa), Wellington Central / Petone Titahi Bay, Porirua City Tui Park, Wellington North Wadestown, Wellington Central / Petone Waikanae, Levin / Kapiti Waitangirua, Porirua City Wellington South, Wellington South z-test

Does your child have extra learning or development needs? Please give details.

Name any support people or organisations that are currently working with your child (eg speech therapist).

Enrolling more than one child? Please supply each child's details (full name, gender and date of birth)

Parent/Guardian/Caregiver 1 - Full name *

Parent/Guardian/Caregiver 1 - Relationship to child *

Parent/Guardian/Caregiver 1 - Email *

Parent/Guardian/Caregiver 1 - Daytime phone number *

Parent/Guardian/Caregiver 1 - Evening phone number

Parent/Guardian/Caregiver 1 - Mobile phone number

Parent/Guardian/Caregiver 1 - Address *

Parent/Guardian/Caregiver 2 - Full name *

Parent/Guardian/Caregiver 2 - Relationship to child *

Parent/Guardian/Caregiver 2 - Email

Parent/Guardian/Caregiver 2 - Daytime phone number *

Parent/Guardian/Caregiver 2 - Evening phone number

Parent/Guardian/Caregiver 2 - Mobile phone number

Parent/Guardian/Caregiver 2 - Address

Child lives mainly with: * Parent/guardian 1 Parent/guardian 2 Both

Alternate Caregiver’s name (if the child is regularly cared for by someone other than the above)

Alternate Caregiver’s address

Alternate caregiver’s daytime phone number

Alternate caregiver’s evening phone number

Alternate caregiver’s mobile phone number

To comply with the privacy act, I give permission for the following to be made available: (please check each box) * Parent/s name/s and telephone number to the committee Parent/s name/s and telephone number to health authorities Child’s name and date of birth to the school your child is likely to attend.