Common Contracts

Contract

September 7th, 2023

• Filed
  September 7th, 2023

Administration Records Enrolment Agreement FormCountry Wonders Limited 57 Hodgsons Rd Loburn Ph: 021 748 435Email: mel@countrywonders.co.nz ♦ Child’s details: Child’s official surname or family name: Child’s official given name: Child’s official other names / middle names:(please separate names with a comma): Name your child is known by / preferred name:Surname / family name: Given name: Copy of official identity verification document* collected by staff:❑ New Zealand birth certificate ❑ Foreign birth certificate❑ New Zealand passport ❑ Foreign passport❑ Other Staff initials: Child’s date of birth: d d / m m / y y y y Male Female Child’s ethnic origin/s: Iwi your child belongs to: Language/s spoken at home: Child’s primary residential address: Post Code: Parents / Guardians: 1. Given names: 2. Given names: Surname / family name: Surname / family name: Address: Address: Post Code: Post Code: Phone (Home): Phone (Home): Phone (Work): Phone (Work): Phone (Mobile): Pho