APPLICATION FOR ENTRY OF INTERNATIONAL STUDENTS TO NELSON CENTRAL SCHOOL

A non-refundable application fee of $NZ250.00 must accompany this application form. The payment of this fee does not commit Nelson Central School to accepting the entry.

STUDENT DETAILS

Family Name .....................................................................................................................
Given name . ....................................................................................................................
Preferred name ....................................................................................................................
Nationality .................................................
Date of Birth ..............................................
First language ..............................................
Parents' Details
Mother (Mrs / Ms / Miss / Dr ) (Please circle)
First Name ........................................................................................................................
Family Name .....................................................................................................................
Address ..............................................................................................................................
Telephone: Home ...............................................................
Telephone: Business .........................................................
Fax ..........................................................................................
Email ......................................................................................
Father (Mr / Dr ) (Please circle)
First Name ........................................................................................................................
Family Name .....................................................................................................................
Address ..............................................................................................................................
Telephone: Home ...............................................................
Telephone: Business .........................................................
Fax ..........................................................................................
Email ......................................................................................

TO:  The Principal

AT:  Nelson Central School

FAX:  (03) 548 4483

STUDENT'S NAME: __________________________________________________

ARRIVAL DATE: ___________________________________
(In Nelson):

FLIGHT NUMBER: ____________________
eg NZ 8367

ARRIVAL TIME: _____________________
(In Nelson)

PARENT'S SIGNATURE: ______________________________________________

NOTE: If you wish to be met on arrival in Nelson

• We must have the name of the airline you will travel with eg Air NZ, Qantas
• You must fax this form back at least 72 hours before you depart from your country
• If we do not receive the completed form you should not expect to be picked up at the airport.
  

The following information is required on an annual basis to assist school administration and should be returned with the application form.

1. Name and address of parent or legal guardian who is contracting for the enrolment of the student.

Name:
Address:

2. Relationship to the student (please tick)

Parent (Mother/Father) - please indicate
Legal guardian
Relative or agent on behalf of the student's parent or legal guardian
Other- please state

3. If completing on behalf of the student's parent or legal guardian, please advise their name and address.

Name:
Address:

4. If the parent or legal guardian intends visiting New Zealand in the coming year, please provide an indication of the anticipated dates in New Zealand.

Arrival date ___________________ Departure date ___________________

Arrival date ___________________ Departure date ___________________

Arrival date ___________________ Departure date ___________________

Nelson Central School
70 Nile street
Nelson
NEW ZEALAND

Telephone: 0064 3 548 4972
Fax: 0064 3 548 4483
E-mail: The Principal
Website: Nelson Central School Website

This agreement shall be signed on behalf of the Student by the parents or guardians of the Student where the Student is under 18 years of age.

School: Nelson Central School ("the School")
Student: ("the Student")

1. The School shall provide tuition to the student in accordance with the New Zealand Ministry of Education Code of Practice and the laws of New Zealand in return for an annual fee of $8,800.00.
2. The Student shall comply with the rules and policies of the School and with the reasonable instructions of the teachers of the School.
3. The parents or guardians of the Student ("the Parents") authorises the school to:3.1 Receive information from any person, authority or corporate body concerning the Student including, but not limited to, medical, educational and welfare information;
   3.2 Receive financial information relating to the Student including bank account details, debt and/or income details of the Student;
   3.3 Provide consents in respect of any activity carried out and authorised by the School; and
   3.4 Provide necessary consents on the Student's behalf in the event of a medical emergency where it is not reasonably practicable to contact the Parents.
   
4. The Parents irrevocably authorise the principal of the School to advise the Student's homestay hosts of all matters and information required to be provided to parents of any student under the laws of New Zealand. The Parents irrevocably authorise the School to obtain information regarding the Student from the homestay hosts. The Parents agree to appoint the homestay hosts as their agents in New Zealand to receive and provide such information in substitution for the Parents.
   
5. The Parents agree to provide the School with academic, medical or other information relating to the wellbeing of the Student as may be requested from time to time by the School.
   
6. The school shall use its best endeavours to ensure the safety, health and wellbeing of the Student but shall not be liable for any damage or harm caused to the Student or the Student's property. In addition, the School shall have no responsibility for the Student outside of school hours.
   
7. In any event, the School's liability in relation to the supply of tuition services | to the Student is limited to the amount of fees paid by the Student for the provision of the services in respect of which liability arises.
   
8. Nothing in this agreement limits any rights the Parents and/or the Student may have under the Consumers Guarantees Act 1993.
   
9. Either party may terminate this agreement at any time upon one months written notice being given to the other party. If the agreement is terminated the refunds policy for international students as outlined in the school refunds policy shall apply.
   
10. It is acknowledged that all relevant provisions of the Education Act 1989 shall apply to the Student in New Zealand. Any decision under these provisions to expel or suspend the Student for a specified period shall terminate this agreement and the refunds policy shall apply. The Parents shall have no claim in damages for any compensation if this agreement is terminated in these circumstances.
    
11. Neither party is liable to the other for failing to meet its obligations under this agreement to the extent that the failure was caused by an act of God or other circumstances beyond its reasonable control.
    
12. This agreement shall be construed and take effect as a contract made in New Zealand and will be governed by New Zealand law, and the Student and Parents submit to the exclusive jurisdiction of the New Zealand courts.
    
13. Notices given under this agreement must be in writing and given to the addresses set out in the application forms. Those sent by post shall be deemed to have been received 5 working days after posting.
    
14. This agreement contains all of the terms, representations and warranties made between the parties and supersedes all prior discussions and agreements covering the subject matter of this agreement.
    
15. The Parents and Student acknowledge that:

(a) Personal information of the Parents and/or Student collected or held by the School is provided and may be held used and disclosed to enable the School to process the application for tuition, provide tuition and homestay services to the Student, provide to the Student and/or Parents advice or infonnation concerning products and services the School believes may be of interest to the Student and/or Parents and to enable the School to communicate with the Student and/or Parents for any purpose;
(b) All personal information provided to the School is collected and will be held by the School at Nelson Central School, 70 Nile Street, Nelson, New Zealand, Ph 548 4972, Fax 548 4483.
(c) If the Student/Parents fail to provide any inforn ation requested in the application for tuition, the School may be unable to process the application;
(d) The Student/Parents have the right under the Privacy Act 1993 to obtain access to and request corrections to any personal information held by the School concerning them.

EXECUTION
I have read and understood the terms set out in this agreement including the refunds policy and agree to them.
Signed: _______________________________________________________ Date: __________
Full Name: ___________________________________________________________________________
Relation to Student: ____________________________________________________________________

Signed on behalf of:
____________________________________________________________________________________

Nelson Central School

Position: _____________________________________________________ Date: ____________________