Gibb House Internal Application for Boarding

Student Information

Name:(Required)

First Last

Preferred name:(Required)

Family code:(Required)

Entry Year Level (boys from year 7; girls from year 11):(Required)

Term and year of entry (eg: Term 1, 2023):

Term:(Required)

Year:(Required)

Legal Guardian Information

(The legal guardian is the person who has the right to make decisions in regard to their upbringing and education)

Guardian 1

Name:(Required)

First Last

Relationship to student:(Required)

Address(Required)

Street Address City ZIP / Postal Code

Home phone:

Mobile:(Required)

Email(Required)

Student normally resides with this guardian:(Required)

Yes

Guardian 2

Name:

First Last

Relationship to students:

Address

Street Address City ZIP / Postal Code

Postcode:

Home phone:

Mobile:

Email:

Student normally resides with this parent/guardian:

Yes

Emergency Contact

This will ideally be someone within the greater Wellington region who we can contact in your absence or with whom your child can stay should the need arise (eg: unforeseen closure of the hostel; medical emergency)

Name(Required)

First Last

Address(Required)

Street Address City ZIP / Postal Code

Postcode:(Required)

Home phone:

Mobile:(Required)

Email:(Required)

Health & Wellbeing Information

All current medical information and consents on your general enrolment will apply to boarding. We also require the following additional information: Provide all medical and/or wellbeing information for your child which is relevant to their care (eg: illnesses, chronic injuries, behavioural or developmental diagnoses, disorders, phobias, allergies):

Please identify any prescribed medications your child will require while in boarding (please note: these must be handed to the matron and will only be dispensed by staff):

Are there any custody or care and protection orders which are applicable to your child?(Required)

Yes

If YES, please explain and attach any relevant information to ensure that our staff complies with these.(Required)

Yes

Consent Form

Please download the following form, complete the required signatures and upload using the option below.

Download consent form

File(Required)

Max. file size: 35 MB.

Our Location

Scots College
1 Monorgan Road
Strathmore Park
Wellington 6022
New Zealand

Scots College
PO Box 15064
Miramar
Wellington 6243
New Zealand

Gibb House Internal Application for Boarding

Student Information

Legal Guardian Information

Guardian 1

Guardian 2

Emergency Contact

Health & Wellbeing Information

Consent Form

Our Location

QUICK LINKS

SITE SECTIONS

FIND US ON