Enrol at Hato Petera

Student First Name: *

Student Last Name: *

Date of Birth: *

Parent/Caregiver Name: *

Address 1: *

Address 2:

City / Town: *

Boarder or Day Pupil?:

Boarder

Day Pupil

Your email address: *

Your Phone Number:

Your Cell Phone:

Anything else you would like us know?: