We are pleased to inform you that your child has chosen to be part of our Senior or Junior Kapa Haka 2025. The year ahead will include practices every week for our Senior Competitive and Non-Competitive participants in preparation for the different events we will participate in. The details below provide you an insight of what we will be doing .  

 This event contains risks, including Public Spaces  This event is supervised by school staff who will manage risk and hazards according to the school’s safety management plan.  This includes careful planning for managing risks during all events and sufficient staff and adult supervision for all events.  While risks can be maintained to acceptable levels they cannot be totally eliminated.  Some risk is retained for its learning and experiential value.  If you wish to come in to school to see our safety management systems or have any questions, feel free to contact Marama Davis  on 03 2116030 or [email protected]

It is important for safety reasons that students follow instructions given to them by all staff and follow all appropriate school rules. Behaviour by students that is deemed dangerous and puts themselves and/or others at undue risk will result in your daughter being sent home at the cost of the parent/ caregivers.

"*" indicates required fields

Student Information:

The information on this form will remain confidential to the teachers/instructors in charge of/assisting with the Kapa Haka for 2024. Please be assured your child’s physical and emotional well-being always remains of paramount importance to us.

Student's Full Name*

First Last

Students Date of Birth*

DD slash MM slash YYYY

Home Phone

Students Medical Information:*

I give permission for this information to be shared with the teacher in charge as required.

Yes (Medical)

Transport*

Please indicate below if you give permission for your child to be driven by the named staff member. (If you have any queries in relation to this please contact the Teacher in Charge of the trip).

Yes, I give permission (Transport)

Parent/Caregiver Consent:

Please tick the boxes below to complete the Parent/Caregiver consent.

Parent Consent*

I give my child permission to participate in Kapa Haka for 2025

My child has read and understands the Student Code of Conduct.

My child's medical information is up to date with Student Services

I acknowledge the school policy that states you must 'pay before play/attend' an event/trip or sport.

I acknowledge that full payment is required by the due date specified for my child to be eligible to participate in this event.

I acknowledge that any payments made to my child's account will be allocated to the oldest unpaid fees/charges if any and that my child is not able to participate until all these charges are paid in full.

I acknowledge and accept the Risks Disclosure.

First Name

Last Name

Parent/Caregivers Mobile*

Parent/Caregivers Email*

Parent/Caregiver Signature*

Payer Details

Payer Name*

First Last

Payer Email*

Please enter a valid email address to receive a emailed version of this form once completed.

Payer Mobile*

Payment

Any payments received for your child will be allocated to the oldest unpaid amounts sitting on your child's account first. Your child is not able to participate until all these amounts are paid in full.

If your online card payment is unsuccessful we do not receive your permission form, please choose a different payment method and re-submit the form.

Kapa Haka Costs 2025

Price:

Kapa Haka

Please tick either Junior or Senior Registration. Putangitangi and Polyfest are required to be ticked.

Junior Kapahaka Registration

Senior Kapahaka Registration

Otakou/Murihiku Secondary School Competition

Polyfest

Total

Payment Options*

Pay Online now by Debit / Credit Card

Cash / Eftpos at Student Services

Automatic Payments (AP)

Bank Transfer