Enrolment Form

If you have any questions email enrolments@middleton.school.nz

Middleton Grange School Online Enrolment Form 2027

"*" indicates required fields

Student Details

First Name (Legal Name)*

Middle Names (Legal Name)

Surname (Legal Name)*

Preferred First Name - if different

Preferred Last Name - if different

Gender*

Date of Birth*

Current Year Level (0 if not yet at school)*

Year level you are applying for in 2027*

Date hoping to start 2027 (Term 1 starts 27.01.2027)*

Does the student come with ORS funding?*

Yes

Current school or preschool if not yet at school*

If the student currently at a CEN school (Aidanfield, Emmanuel, Hillview, Rolleston Christian Schools) and is leaving before the graduating year, explain your reason for leaving

Ethnicity 1*

Ethnicity 2

Ethnicity 3

Iwi student belongs to 1

Iwi student belongs to 2

Iwi student belongs to 3

Language spoken 1*

Language spoken 2

Language spoken 3

Street Address*

Suburb*

Town / City*

Post Code*

Country*

Upload proof of address*

Utility bills only please - electricity, gas, contents insurance are acceptable forms. Must not be a rates notice or PO Box address.

Drop files here or

Max. file size: 512 MB.

Outline or add anything we should, or you wish us, to be aware of as we consider this application for enrolment?

Middleton Grange School - Family History

Are you a current Middleton Grange School family?*

Yes

Does the student have a sibling currently enrolled at Middleton Grange School who was attending on or before 17 February 2025 ‘Grandparent Clause’

Yes

If ‘Yes’ – State names of all siblings who are currently enrolled at Middleton Grange School who were attending on or before 17 February 2025.

‘If ‘No’ Please state siblings names of students who are currently enrolled at Middleton Grange School but commenced attending on 18 February 2025 or after.

Sibling Applications

Is the only student you are, or will be, making an application for to start in 2027?*

Yes

Please state name/s of sibling's also applying in 2027

Eligibility to Enrol at a New Zealand School

You must upload documents to validate eligibility. 1. NZ/Australian Birth Certificate / Passport - certified OR 2. International Passport with NZ Immigration documents - certified

Country of Birth*

Document being uploaded*

NZ/Australian Birth Certificate or Passport

International Passport with NZ Immigration documents

Citizenship*

NZ Citizen

Australian Citizen

Other

Arrival date in NZ

Upload documents for Eligibility to Enrol at a New Zealand School*

NZ/Australian Birth Certificate or Passport or International Passport with NZ Immigration documents

Drop files here or

Max. file size: 512 MB.

Parent/Caregiver 1 Contact Details

It is important that we have proof of address, please attach a household bill such as electricity, gas, insurance (not a council rates bill).

Parent/Caregiver 1 Title (ie Mother)

Parent/Caregiver 1 Name*

First Last

Relationship to Child*

Occupation

Specify Relationship to child*

Cellphone Number*

Work Phone

Email*

Do you live at the same address as the child?*

Yes

Parent 1 Address (if not the same as the child's)*

Street Address Address Line 2 City ZIP / Postal Code Country

Upload proof of address*

Utility bills only please - electricity, gas, contents insurance are acceptable forms. Must not be a Rates notice.

Drop files here or

Max. file size: 512 MB.

Does the child have a second Parent/Caregiver?*

Yes

Parent/Caregiver 2 Contact Details (ie Father)

Parent/Caregiver 2 PREFIX*

Parent/Caregiver 2 Name*

First Last

Relationship to Child*

Occupation

Specify Relationship to Child*

Cellphone Number*

Work Phone

Email*

Do you live at the same address as the child?*

Yes

Parent/Caregiver 2 Address (if not the same as the child's)*

Street Address Address Line 2 City ZIP / Postal Code Country

Upload proof of address*

Utility bills only please - electricity, gas, contents insurance are acceptable forms. Must not be a Rates notice.

Drop files here or

Max. file size: 512 MB.

Custody/Access Arrangements (if applicable)

Are there any custody arrangements in place?*

Yes

Please include a descripton of custody/access arrangements in place.*

Name of Legal Guardian/s*

Court Order Issued?*

Yes

Not Applicable

Please upload any relevant court documents to this application

Drop files here or

Max. file size: 512 MB.

Church Information

How regularly do you attend church?*

Please specify*

Church Name*

Minister/Pastor Name*

Minister/Pastor Email (ensure this is accurate)*

Minister/Pastor cellphone*

Number of years attending*

Number of years attending previous church*

If less than 1 year what is your church history?

What is your church involvement?*

Has the Mother made a Christian commitment?*

Yes

Has the Father made a Christian commitment?*

Yes

Has the student made a Christian commitment?*

Yes

Please explain why you are seeking Christ centred education for your child at Middleton Grange School*

Describe the Biblical principles and practices taught and lived out in your home and family life*

Enrolment Scheme

a. Is the student a sibling of a current student at Middleton Grange School?*

Yes

b. Is the student a child of a current permanent employee of Middleton Grange School?*

Yes

c. Is the student a child of a current permanent employee of a CEN School, CEN School Board member or CEN Board of Proprietor member? ie Aidanfield, Emmanuel, Hillview, Rolleston Christian Schools*

Yes

c. If you answered 'Yes' and are a current permanent employee of a CEN school - State name of employee and School

c. If you answered 'Yes' and are a CEN School Board Member - State name of Board Member and School

c. If you answered 'Yes' and are a CEN Board Properietor Member - State name of Proprietor Member and School

d. Is the student currently enrolled at another CEN School? ie Aidanfield, Emmanuel, Hillview, Rolleston Christian Schools*

Yes

e. Is the student a sibling of a student currently enrolled at another CEN school?*

Yes

e. If you answered 'Yes' - State name of CEN School that sibling attends

f.i. Has the student attended a Christian school, Christian pre-school or Homeschool and has done so for one year or longer?*

Yes

f.i. If you answered 'Yes' - State name of Christian school, Christian pre-school or state Homeschool

f.ii. Has the student previously attended Middleton Grange School?*

Yes

f.ii. If you answered 'Yes' - State years of attendance eg 2020 - 2022

f.iii Has the student a parent who is a former student of Middleton Grange School?*

Yes

f.iii. If you answered 'Yes' - state name/s

f.iv Has the student a sibling who is a former student of Middleton Grange School?*

Yes

If you answered 'Yes' - state name/s

Agreements

Statement of Faith

Caregiver 1

Do you agree with the statements below?

The unity of the Father, the Son and the Holy Spirit in the Godhead.*

Yes

The Sovereignty of God in creation, revelation, redemption and final judgement.*

Yes

The divine inspiration and trustworthiness of Holy Scripture, as originally given and its supreme authority in all matters of faith and conduct.*

Yes

The universal sinfulness and guilt of human nature since, the fall, rendering humankind subject to God’s wrath and condemnation.*

Yes

Redemption from the guilt, penalty, pollution and power of sin only through the sacrificial death (as our representative and substitute) of Jesus Christ, the incarnate Son of God.*

Yes

The bodily resurrection of Jesus Christ from the dead, His ascension, His mediatorial work and His personal return in power and glory.*

Yes

The necessity of the work of the Holy Spirit to make the death of Christ effective to the individual sinner, granting repentance toward God and faith in Jesus Christ.*

Yes

The indwelling and sanctifying work of the Holy Spirit in the believer.*

Yes

The one holy, universal church, which is the Body of Christ, to which all true believers belong and in which they are united through the Spirit.*

Yes

The resurrection of the body and life everlasting.*

Yes

If offered a place for my child I will commit to upholding and preserving the special character of the school while they attend*

Yes

Caregiver 2

Do you agree with the statements below?

The unity of the Father, the Son and the Holy Spirit in the Godhead.*

Yes

The Sovereignty of God in creation, revelation, redemption and final judgement.*

Yes

The divine inspiration and trustworthiness of Holy Scripture, as originally given and its supreme authority in all matters of faith and conduct.*

Yes

The universal sinfulness and guilt of human nature since, the fall, rendering humankind subject to God’s wrath and condemnation.*

Yes

Redemption from the guilt, penalty, pollution and power of sin only through the sacrificial death (as our representative and substitute) of Jesus Christ, the incarnate Son of God.*

Yes

The bodily resurrection of Jesus Christ from the dead, His ascension, His mediatorial work and His personal return in power and glory.*

Yes

The necessity of the work of the Holy Spirit to make the death of Christ effective to the individual sinner, granting repentance toward God and faith in Jesus Christ.*

Yes

The indwelling and sanctifying work of the Holy Spirit in the believer.*

Yes

The only holy, universal church, which is the Body of Christ, to which all true believers belong and in which they are united through the Spirit.*

Yes

The resurrection of the body and life everlasting.*

Yes

If offered a place for my child I will commit to upholding and preserving the special character of the school while they attend*

Yes

Declaration

Our Privacy Policies and Procedures comply with the NZ Privacy Act 2020. All information collected is for the purpose of student education and as outlined in our full Privacy Policy. Personal information about students may be shared with Ministry of Education, Government agencies that support student learning and family wellbeing, NZQA, Attendance Service, DHB and RTLB. Non-identifying statistical information may be shared with the Christian Education Network Office and other relevant agencies to help with school and network planning and administration. For further information and to view our full Privacy Policy please read Middleton Grange School Policies at https://www.middleton.school.nz/privacy/.

PRIVACY I/We confirm I/we have read and understood the Middleton Grange School Privacy Policy and the privacy statements above and agree to their terms. I approve the forwarding of such whole or part information when my child transfers from or to another school.
BYLAWS If my child is accepted onto the roll at this school I/we agree to accept and abide by all the rules and regulations of the school in force from time to time.
ATTENDANCE DUES I/We undertake to pay the Attendance Dues charged by the proprietor (The Christian Schools' Trust) and such fees as are charged by the Board in a timely fashion and in full by the due date for the full duration my child is on the roll at the school. If in default of paying Attendance Dues and/or recoverable fees all costs of collection, including debt collector fees, solicitor costs, charges and expenses will be added to the account. If for any reason the payment of the aforementioned charges becomes a difficulty, I/We agree that I will communicate with the school in a timely fashion. https://www.cst.org.nz/middleton-grange-school/
SCHOOL FEES I/We undertake to pay any such recoverable fees as are charged by the Middleton Grange School Board and that, if in default of paying recoverable fees, all costs of collection, including debt collector fees, solicitor costs, charges and expenses will be charged to my account.
SPECIAL CHARACTER DONATION (SCD) I/We will endeavour to support the school financially through the SCD.
POLICIES I/We agree to abide by the policies (as amended from time to time), and uphold the special character of the school as described by the proprietor.
I/We understand and agree to the school taking necessary action on my behalf as when such action deemed necessary by the school.
I/We confirm that all information provided is true and correct and accurate and I/we acknowledge that any information omitted or mis-information given could result in an offer of place being withdrawn.
I/We do not have outstanding debts (other than those incurred in the ordinary course and which I/we expect to meet as and when falling due) that will hinder my ability to meet the financial obligations to the school each year.

Prior to Submitting

Please Note

The school will make direct contact with the Church Minister/Pastor via the contact details you have provided in order to obtain a confidential Minister/Pastor reference. If you answered 'Other' or 'Do not attend' to the church questions this will not occur.
Please note the school reserves the right to return any incomplete application forms. Incomplete forms will not be processed. We do not hold applications from year to year. If you are unsuccessful for the year you are applying for, you will need to resubmit an application for the following year. Incomplete forms will not be processed.
Should an offer of placement be made we will be requesting additional information to complete the application.

Acknowledgement

Please contact the school if you have not received acknowledgement within 8 working days of submission. Thank you for your application.

About Middleton Grange

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Enrolment Form

Middleton Grange School Online Enrolment Form 2027

Student Details

Middleton Grange School - Family History

Sibling Applications

Eligibility to Enrol at a New Zealand School

Parent/Caregiver 1 Contact Details

Parent/Caregiver 2 Contact Details (ie Father)

Custody/Access Arrangements (if applicable)

Church Information

Enrolment Scheme

Agreements

Statement of Faith

Declaration

Prior to Submitting

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