Expression of Interest

Expression of Interest
Please complete all fields where applicable. All fields marked with an asterisk (*) are compulsory.
Child's full name

First Name Last Name
Date of birth

Day Month Year Date Picker Icon

Place of birth

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Gender

Male Female

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Names of any siblings at Meraki Montessori
Entry date requested *

Day Month Year Date Picker Icon
Previous Education
Present or last school attended *
Early childhood services attended
Foreign Student Domestic Student
Is your child a NZ permanent resident or Citizen?

Yes No

Caregiver Details

Caregiver #1 Details
Relationship to child
Full Name

First Name Last Name

Address (if different from child)

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

E-mail
Contact Phone Number

Should be Empty: