Orange Swim School Sponsorship Application Form

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ORANGE SWIM SCHOOL

'Learn to Swim - Skills for Life'

A Ngāti Whakaue Education Endowment Trust Board sponsored

Water Safety and Learn to Swim Programme run by Orange Swim School

at All Seasons Holiday Park, Hannahs Bay and St Mary's Primary School

For Ngāti Whakaue Children aged 3 years - 14 years

Before You Begin!

Please ensure you have a saved digital copy of:

Verified Whakapapa Sheet - clearly showing connection to child/children you are applying for
Bank Account Details (must show full bank account and name of account holder)

NOTE: Files must be saved as .pdf, .jpg or .png only. You cannot upload other file types.

You cannot submit this application without uploading the above documents.

If you don't already have a verified whakapapa sheet you can download a blank sheet here:
Blank Whakapapa Sheet Download Link

Applicant Details (Parent/Caregiver Applying)

Applicant First Name

Applicant Middle Name(s)

Applicant Surname

Applicant Preferred First Name

Applicant Date of Birth

Applicant Gender

Applicant Relationship to Tamaiti/Tamariki/Mokopuna

Applicant Address and Contact Details

Street Number and Name

City

Post Code

Mobile/Phone

Personal email address is preferred, rather than School, Work or Tertiary Institution.

Confirm Email

Text

Tamaiti/Tamariki/Mokopuna Details

(names of children for whom sponsorship is requested)

Sponsorship may extend to a maximum of TWO children per whanau.
Not available to children who have completed 'Gold' level or reached age 15 years (whichever is the earliest)

1. Tamaiti/Tamariki/Mokopuna

First Name

Middle Name(s)

Surname

Preferred First Name

Date of Birth

Gender

Stage/Level (if known)

2. Tamaiti/Tamariki/Mokopuna

First Name

Middle Name(s)

Surname

Preferred First Name

Date of Birth

Gender

Stage/Level (if known)

Bank Account Details

The account entered below will be used for any refund of fees you are entitled to.

Bank Account Name (Account Holder Name)

Bank ID

Branch

Account

Suffix

Document Upload

NOTE: Files must be saved as .pdf, .jpg or .png only. You cannot upload other file types.

Bank Account Details

Evidence of bank account, clearly showing account holder name and number

Verified Whakapapa Sheet

Verified Whakapapa must clearly show connection to child/children you are applying for.
If you don't already have a verified whakapapa sheet you can download a blank sheet here:
Blank Whakapapa Sheet Download Link

Important

NWEETB takes no responsibility for the swimming programme itself. Parents who may have enquiries or concerns regarding the programme are asked to communicate directly with Orange Swim School.

Declaration

Ngāti Whakaue Education Endowment Trust Board complies with the Privacy Act 2020; this means personal information collected about my tamaiti/tamariki/mokopuna and I will only be used for a legitimate purpose that is associated with my grant application. I understand, and authorise, Ngāti Whakaue Education Endowment Trust Board to collect, hold and use information about my

tamaiti/tamariki/mokopuna and I for this purpose, and to discuss my application with Orange Swim School staff when required.
Information submitted by me may be used by the Board for statistical, reporting and the purposes of publicity.

I understand that my application may be declined if I fail to attach and complete all requested documents/information or meet the stated attendance criteria.

By ticking the Acknowledge Terms and Conditions box below I am agreeing to the above statement.

Acknowledge Terms and Conditions