Most students join Chilton at Preschool, New Entrant, Year 7 or Year 9 however we welcome students at all year levels.
Family Name
First Names
Preferred Names
Gender
Nationality
Religion
Date of Birth (dd/mm/yy)
Year Level of Entry
Place of Previous Education with Dates
Daughter or Granddaughter of Old Girl If yes: please supply maiden name
HOUSE:
Name of Sibling/s at Chilton Saint James School
Mailing Address (with suburb)
Home Telephone
Full Name of Mother
MOTHER / STEPMOTHER/ CAREGIVER
Occupation of Mother
Student resides width
Home Address (if not as above)
Business Name and Address
Business Telephone
Mobile Telephone
Email of Mother
Full Name of Father
Occupation
Email of Father
Full name of alternative contact (this is useful if you move house and we don't have a record of your new address)
Suffix: Number:
I/ We have read the Business Regulations and agree that, on the acceptance for admission of the Student, we will abide by these terms and conditions.
I/ We agree that the information contained in this form of application may be released to parties outside the School at the discretion of the Principal where it relates to the education, health, welfare or safety of the student.
Where the student concerned in this application is aged 16 years or more, she must agree to the conditions above.
Note: Your application must be accompanied by the Application fee.
I/we have paid the application fee of $100 by direct debit to National Bank Margaret St Lower Hutt account number 06 0529 0035051 00 with a clear indication of who the payment is from.
