Please complete the following details so we can provide information about our school.Please send me an information pack for the following age group/s* Infant Program – 0-3 years old Preschool – 3-5 years old Primary – 5-12 years old Middle School – 12-16 years oldI would like to tour the following campus* Yultiwirra campus – 0-12 years old Wairoa campus – 12-16 years oldParent 1/Mother/Guardian 1 detailsName* First Last AddressPhone*Email* Old Scholar?YesNoParent 2/Father/Guardian 2 detailsName First Last AddressPhoneEmail Old ScholarYesNoStudent DetailsNumber of Students1234Student’s NameStudent’s DOBDay12345678910111213141516171819202122232425262728293031Month123456789101112Year2019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Student’s current year levelReceptionYear 1Year 2Year 3Year 4Year 5Year 6Year 7Year 8Year 9Year 10Current school attendingYear level being considered to commence at The Hills Montessori SchoolReceptionYear 1Year 2Year 3Year 4Year 5Year 6Year 7Year 8Year 9Year 10Student’s NameStudent’s DOBDay12345678910111213141516171819202122232425262728293031Month123456789101112Year2019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Student’s current year levelReceptionYear 1Year 2Year 3Year 4Year 5Year 6Year 7Year 8Year 9Year 10Current school attendingYear level being considered to commence at The Hills Montessori SchoolReceptionYear 1Year 2Year 3Year 4Year 5Year 6Year 7Year 8Year 9Year 10Student’s NameStudent’s DOBDay12345678910111213141516171819202122232425262728293031Month123456789101112Year2019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Student’s current year levelReceptionYear 1Year 2Year 3Year 4Year 5Year 6Year 7Year 8Year 9Year 10Current school attendingYear level being considered to commence at The Hills Montessori SchoolReceptionYear 1Year 2Year 3Year 4Year 5Year 6Year 7Year 8Year 9Year 10Student’s NameStudent’s DOBDay12345678910111213141516171819202122232425262728293031Month123456789101112Year2019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Student’s current year levelReceptionYear 1Year 2Year 3Year 4Year 5Year 6Year 7Year 8Year 9Year 10Current school attendingYear level being considered to commence at The Hills Montessori SchoolReceptionYear 1Year 2Year 3Year 4Year 5Year 6Year 7Year 8Year 9Year 10FeedbackHow did you hear about The Hills Montessori School?Web SiteEditorialAdvertisementWord of MouthOpen DayFurther Comments This iframe contains the logic required to handle AJAX powered Gravity Forms.
