Students Trial Registration Form

1
Student's Full Name* This field is required.Feel free to provide your child's Chinese name if they have one
First Name
Middle Name
Last Name
2
Is your child fluent or familiar in a language other than English?* This field is required.Please note that if your child can already converse fluently in Mandarin, our programmes will not be suitable for them, but we are able to provide you with info about other organisations.
No
Yes - Mandarin
Yes - Other Chinese dialect e.g. Cantonese
Other
3
Student's NZ School Year in 2019* This field is required.Please note that the available classes are: Early Learners (students under 4 years old, parent/caregiver accompanied), Prep (students 4 years old to School Year 1), School Years 2-8, College Years 9-13.
Please Select
Please Select
Less than 6 months old
6-12 months old
1-2 years old
2-3 years old
3-4 years old
4 years old - School Year 1
School Year 2-8
College Year 9-13
for Incoming A.Y. '12-'13
4
Suburb* This field is required.Please provide your residential suburb so that we can suggest classes nearby to you.
Alicetown
Aotea
Arakura
Aro Valley
Ascot Park
Avalon
Belmont
Berhampore
Birchville
Boulcott
Broadmeadows
Brooklyn
Brown Owl
Camborne
Cannons Creek
Churton Park
Clouston Park
Colonial Knob
Crofton Downs
Eastbourne
Ebdentown
Elderslea
Elsdon
Emerald Hill
Epuni
Fairfield
Glendale
Glenside
Gracefield
Grenada North
Grenada Village
Harbour View
Hataitai
Haywards
Heretaunga
Highbury
Homedale
Hongoeka
Horokiwi
Houghton Bay
Island Bay
Johnsonville
Judgeford
Kaiwharawhara
Karaka Bays
Karori
Kelburn
Kelson
Kenepuru
Khandallah
Khandallah
Kilbirnie
Kingsley Heights
Kingston
Korokoro
Lyall Bay
Makara
Makara
Makara Beach
Makara Beach
Mana Island
Mangaroa
Manor Park
Maoribank
Maungaraki
Maupuia
Maymorn
Melling
Miramar
Moera
Moonshine
Mornington
Mt Cook
Mt Victoria
Naenae
Newlands
Newtown
Ngaio
Ngauranga
Ngauranga
Normandale
Northland
Ohariu
Oriental Bay
Owhiro Bay
Paekakariki Hill
Papakowhai
Paparangi
Paremata
Parkdale
Parkway
Pauatahanui
Petone
Pinehaven
Pipitea
Plimmerton
Pomare
Porirua City Centre
Pukerua Bay
Ranui
Riverstone Terraces
Rongotai
Roseneath
Seatoun
Seaview
Silverstream
Southgate
Stokes Valley
Taitā
Takapu Valley
Takapuwahia
Tawa
Te Aro
Te Marua
Thorndon
Timberlea
Tirohanga
Titahi Bay
Totara Park
Trentham
Upper Hutt CBD
Vogeltown
Wadestown
Wainuiomata
Waitangirua
Waiwhetū
Wallaceville
Waterloo
Wellington Central
Whitby
Whitemans Valley
Wilton
Wingate
Woburn
Woodridge
for Incoming A.Y. '12-'13
5
Student's ECE Centre / School / College* This field is required.
6
Student's Allergies, Health Conditions or Learning Challenges* This field is required.Please provide any relevant info on allergies (e.g. food), health conditions (e.g. asthma, hard of hearing), or learning challenges (e.g. dyslexia) so that our teachers are aware of this during the class.
7
Parent's/Caregiver's Name* This field is required.
First Name
Last Name
8
Parent's/Caregiver's E-mail* This field is required.Please provide the primary contact's email address
9
Parent's/Caregiver's Mobile Number* This field is required.Please provide the primary contact's number
10
Person to contact in case of emergency during class:* This field is required.
Parent/Guardian
11
Relationship* This field is required.
ex. Father, Mother, etc.
12
Contact details of person to contact in case of emergency* This field is required.
13
Questions or Comments?If you wanting an Observation instead of a paid Trial, please let us know here.
14
Enter the words shown:* This field is required.
15
Trial Registration ID
16
Student Trial Fees and Payment Information:

Please do not make any payments until your trial are been confirmed. This information will also be emailed to you so don't worry about copying it down now.

Trial Fees are

Early Learners $27.00 ($13.50/session)

Prep $29.00 ($14.50/session)

Schools Years 2+ $31.00 ($15.50/session)

Once your trial has been confirmed by the office, please make full payment to

Account Name: Ni Hao Children's Community charitable trust

Account Number: Kiwibank 38-9015-0746789-01

Please reference the payment as: TRIAL{id36} {studentsFull}

The payment must be received and reconciled by us before trials can be attended. Trial fees are non-refundable.

Before attending the trial:

We've written some notes about trials on our Book a Trial website page so hopefully you are familiar with it. Please also read the Class Guidelines on our website. Thank you!
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