New Zealand Enrolment Form

Congratulations you are one step closer to becoming part of one of Auckland’s leading colleges.

Fill out this enrolment form and Amy Tregidga- Student Services Manager will get in contact to make an appointment -Come and visit the team!

About you

Please complete your personal details in the space below

First names	Last name
Date of birth	Age	Male Female
Address
Nationality	Ph (day)
Ph (evening)	Mobile
Email	Fax
Last school attended	Last year you attended school
Name of your next of kin	Relationship to you
Ph (day)	Phone (evening)
Ph (mobile)	Email

Your Course

Please select your course in the space below

Course name and code

Number of weeks

Course start date

How did you hear about Crown?

Declaration

Please read and check the declarations below. If you are under 18 years of age at the date of starting your course, your parent/guardian must also check.

understand and accept the enrolment conditions.

declare that I am a New Zealand citizen or Permanent Resident, as at the date of the enrolment.

am the parent/guardian of the above-named student who is under 18 years of age. I understand and accept the enrolment conditions.

Please tick

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