* Required Fields

Gender *
Nationality *
Citizenship *
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Student Lives With:

'Caregiver' is the term used by the Ministry of Education to describe the person(s) taking care of the student. This may include a stepmother, stepfather, partner, relative, homestay or legal guardian - whoever has day to day responsibility for the student.

Are there any specific access/custody orders that the college should be aware of?
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Swimming Ability *
Parent/Caregiver 1 Details
Title *
Parent/Caregiver 2 Details
Alternative Contact Details
Title *

List any medical condition/allergy/disability/mental health issues Taieri College should be aware of. 
Please explain how this may affect your child's performance or activities at college, or provide any health plans that have been developed with their current school.

NB: Prescribed medications for students are securely stored in the office. Please see the office staff for a form.

List any support, within the college, your child may benefit from. Please tick applicable and provide details.

Year 9 Option Choices

Group A - Choose at lease one (1)
Group B - You must choose three (3) more options. Choices may come from Group A or Group B


Year 10 - Choose 5 single semester options


Year 11 -13: List Option Choices

Invoices/Accounts sent to: *
Reports/Newsletters sent to: *

Privacy Statement

  • The information on the form is collected to form part of the essential information the college holds on your child.
  • The information collected will be used by the college for the following purposes; enrolling your child at Taieri College, assessing the education needs of your child and ensuring the education services and resources in respect to your child are provided to the college.
  • The records made from this information may be viewed on request by the caregiver at the college.
  • These contact details may also be passed on to the Ministry of Education and the Ministry of Social Development (MSD). This is so young people who may have difficulty finding future employment, training or further education can be identified and offered support by organisations contracted by MSD to help re-engage young people in education or training when they leave school.
  • The information collected may be disclosed to education and health sector agencies in accordance with the principles of the Privacy Act. Except with your specific authorisation, it will not be disclosed to any other person or agency unless such disclosure is authorised or required by law.

Education Outside The Classroom

Education outside the classroom (EOTC) is the name given to all activities that occur outside the classroom, both on and off the school site. This includes curricular and extra-curricular activities. Our staff believes in using a range of environments and experiences to enhance student learning and value giving students EOTC opportunities. Hence we need your consent for your son/daughter to take part in EOTC learning.

Agreeing to the undertaking will cover:

  • Activities in the school grounds conducted outside the classroom and may include activities where some level of risk may have to be managed, for example, use of the climbing wall.
  • Off-site activities in the local community including visits to local galleries, sport and recreation facilities.

NB: All EOTC activity categories require staff to undertake an analysis of risks, and identify management strategies to eliminate, isolate and minimise risk. Specific consent will be sought where higher risk-activities are to be undertaken.

Parent/Caregiver Undertaking

Parent Declaration

Family circumstance may change in the course of a year. The more up-to-date information we have, the better. Please notify the college of any changes to a living arrangement, address, contact number or health issues AS SOON AS POSSIBLE by a note or an email to office@taieri.school.nz

Digital Citizenship at Taieri College

Digital technology continues to create opportunities to learn and connect our school community. Taieri College believes in using a digital citizenship model to support safe, responsible and ethical use of digital technology and online spaces as it helps our online environment to be a positive place for everyone.

Taieri College recognises a student’s right to receive a high-quality education in a safe online and offline environment. We will do this by:

  • providing information and support to ensure you are aware of, and able to meet, your responsibilities
  • teaching a curriculum that promotes positive online safety behaviours
  • overseeing students’ use of the school’s digital devices and platforms
  • offering access to the internet and online services that is not unreasonably restricted
  • using filtering software to minimise access to inappropriate online content
  • supporting students who need help dealing with online incidents
  • securing the personal information the school collects about you
  • protecting your freedom of expression under New Zealand’s Bill of Rights
  • having a plan in place to support students when something serious or illegal happens. This might include getting in touch with the Police or Netsafe.

As a student of Taieri College and a member of our community, it is expected that you will positively contribute towards making our school a place that is safe, respectful, and fair online and offline. This means enacting our school values in online spaces, and helping to shape a positive online culture. This is being a ‘digital citizen’.

As a digital citizen, you will:

  • Keep it positive:
    Always respect others online and communicate in a constructive way. Do not create or publish content that is indecent, threatening or offensive.
  • Protect privacy:
    Do not disclose sensitive personal information about yourself or another person in any digital communication. This includes sharing passwords, accessing devices or online sites belonging to others without consent and taking screenshots and sharing this content without consent.
  • Act cautiously:
    Anything you post or do online can influence what people think of you. Likewise, always think carefully about whether the information you see online is true. If you are unsure of something talk to a teacher or parent.
  • Avoid online bullying:
    Creating or forwarding content that is harmful, inappropriate or hurtful is never okay at any time, and may breach legislation (The Harmful Digital Communications Act). If you are harassing people by sending multiple messages this is also considered online bullying and is unacceptable.
  • Be security smart:
    Keep personal information safe and secure by using strong passwords and not sharing them with others. This includes not accessing devices or online sites belonging to others without consent, nor taking screenshots and on-sharing their personal content without their knowledge and permission.
  • Check consent:
    Before downloading software to the school network or onto devices, seek permission. Interfering with the school systems, digital technologies, equipment/network or the online security of another person is never okay at any time.
  • Recognise others work:
    Follow copyright and intellectual property requirements by attributing references, images, text, audio and video appropriately.
  • Respect the rights of others:
    Only record and share video, photo or audio content if the people in it know it has been taken and have provided their consent.
  • Seek help:
    Sometimes you or someone you know will feel unsafe or come across inappropriate or hurtful online content and behaviours. If this happens talk to a trusted adult about what can be done, or contact Netsafe at www.netsafe.org.nz.

Online Bullying

Incidents of online bullying or harm will not be tolerated at our school. If you or somebody else is being bullied or harmed online, it’s never okay at any time. This type of harm doesn’t usually just go away. It’s important to keep the evidence of what is happening to you or someone so this can be investigated. Don’t put yourself at further risk by continuing any contact with the person or people who are bullying online, or creating harmful or hurtful content.

It’s very important to let someone at school know what’s happening so you can get the right help and support you need. You should also consider talking to a trusted adult like your parent, your whānau or guardian for support.

Report A Problem

You should report an online incident or if you suspect something is happening online as soon as you can to your Form Teacher or Dean. Once the school is made aware of a problem, they will assess the problem and work to resolve it.

I understand these apply to all devices used at school whether they are owned by Taieri College or if it is my personal device. I understand I have the right to use and experience online environments and digital technologies in positive ways and that others do also. With these rights, come responsibilities. I understand and agree to support and uphold these expectations and responsibilities outlined in this agreement.

I know that if my actions or behaviours do not align with the Responsible Use Agreement there may be consequences. This may include the loss of access to the internet on school owned devices or personally owned device used at school.

Student Declaration