Scots College – HPA Enrolment Form

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HPA Enrolment Form

Privacy Statement:

Information held by the school is confidential to the school, the student and caregivers, and will only be used for educational and pastoral purposes within the school and for statistical returns.

House Affiliation

The school will place students in Houses and House Groups. If your family has a strong House affiliation, please apply in writing to have your son placed in a particular House.

Form Guide

All items marked with an asterisk (*) are mandatory. The form cannot be submitted when these are left unanswered. If you do not see the Thank you message after submitting and instead you still see the Form, look for field/s marked in red and fill these up before submitting again.
You parent / guardian needs to go through this form with you, and they need to sign in their name at the end of this form as a sign of agreement to the terms and conditions.

Student Information

Surname: *

First Name: *

Date of Birth: *

Year level: *

Home Phone: *

Mobile Number:

Fax:

email: *

Previous School: *

Home Address: *

Upload passport photo:

accepts .gif, .jpg, .png, .bmp file formats

Emergency Contact

Must be living in or near Wellington

Name: *

Phone: *

Relationship to student: *

Ethnicity

Select ethnicity: *

Language (other than English) spoken at home:

Statistics

Weight (kg): *

Height (cm): *

Main Sports

Winter: *

(Rugby, soccer, etc. Include position if applicable)

Summer: *

(Tennis, Athletics, Event, etc. Include position if applicable)

Other sports interested in:

Student's Health Record

Doctor:

Dentist:

Medical condition: *

(Has student ever suffered from a medical condition? Examples would be Asthma, Eplilepsy, Diabetes, Rheumatic fever. Please advise if medication is also required.)

Allergies: *

(Does student suffer from allergic reaction to stings, food, medication? Please advise if medication is required.)

Special circumstance: *

(Does the student suffer from any other medical condition, disability, or special circumstance?)

Personal Goals

What future career in the Sport Industry do you see yourself participating in?: *

List your sporting goals for 2011: *

What are your long term goals (say over the next five years)? Please list.: *

Sporting achievements

List all representative honours achieved (state years): *

Outline any particular strength you have that you could bring into the academy and your reasons for wanting to join: *

Have you attended or been in any other Sports Academy before enrolling here? If yes, where?: *

Coaching / Training

Are you receiving any coaching or participating in any training outside of the School Programme? If yes please list below:

Academy Rules

1. Be on time and attend the Academy and all other classes.
2. Have correct sports equipment and be organised for each class.
3. Follow directions the first time.
4. No interrupting others in any way.
5. Set high personal standards both in class and in public.
6. To always try your hardest in everything you attempt.

Student's Declaration: *

Writing my name means I understand that it is a privilege to be a member of Scots College High Performance Academy and therefore agree to abide by all the Academy rules and regulations.

Parent / Guardian Declaration: *

I/We also agree to the school:
1. Requesting relevant information from other schools for enrolment purposes.
2. Forwarding relevant information to other schools for enrolment purposes.
3. Forwarding relevant information to other institutions for the purposes of qualifications entry.
4. Using information for statistical purposes.

Scots College – Learning. For Life.

HPA Enrolment Form

Privacy Statement:

House Affiliation

Form Guide

All items marked with an asterisk (*) are mandatory. The form cannot be submitted when these are left unanswered. If you do not see the Thank you message after submitting and instead you still see the Form, look for field/s marked in red and fill these up before submitting again.

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