Update Your Contact Details

It is important that we ensure all student contact details are up to date in case of emergency. Remember to push the send button once completed.

*Childs Name

Please enter full name

*Childs Home Address

Siblings at Otamarakau School

Please note: We require you to fill out a seperate form if any siblings home address is different to the child on this form or if they have any medical conditions.

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*Parent/Caregivers Name

Home Telephone Number

*Work Telephone Number

*Cell Phone Number

*Email Address

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Second Parent/Caregivers Name

Home Telephone Number

Work Telephone Number

Cell Phone Number

Email Address

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*Emergency Contact Name

First Emergency Contact

Emergency Contact Telephone Numbers

*Emergency Contact Name

Second Emergency Contact Name

*Emergency Contact Telephone Numbers

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Name and Phone Number of Doctor

Any Medical Conditions?

Any other Information We May Require

Thank you For Updating Your Contact Details