You are on page 1of 1

Clifton Terrace Model School

15 Clif ton Terrace, W ellington, New Zealand


Phone (04) 472-7519 Fax (04) 472-8204
Email staff @ctms.school.nz

APPLICATION FORM

First Name: Last Name:

Name known by:

Date of Birth:

Parent/Caregiver Name/s:

Address:

Postal (if different from above):

Telephone (Home): (Work):

Previous School:

Early Education Centre/Kindy:

How did you learn about CTMS?

Does your child require any special provisions e.g. Speld, special needs support,
toileting, allergies etc.?

Please return this form to the school prior to attending your first visit.
Thank you.

You might also like