Common use of Child Details Clause in Contracts

Child Details. Child’s official given name: Child’s official surname or family name: Child’s official other names/middle name: Please separate names with a comma Name your child is known by/preferred name: Surname/Family Name: Given Name: Copy of official identity verification document* collected by staff: ❑ New Zealand birth certificate ❑ Foreign birth certificate ❑ New Zealand passport ❑ Foreign passport ❑ Other Staff Initials: Child’s date of birth: dd / mm / yyyy Male ❑ Female ❑ Ethnic origin: Iwi your child belongs to: Language/s spoken at home: Child’s primary residential address: Parents / Guardians: Are parents living together ❑ or separated ❑? First Name(MOTHER): First Name(FATHER): Surname/Family Name: Surname/Family Name: Address:❑ (Same as Child) Address:❑ (Same as Child) Post Code: Post Code: Ph (Work): Ph (Home): Ph (work): Ph (home): Ph (Mobile): Ph (Mobile): Email: Occupation: Email: Occupation: Eg. Aunt ...................................................................................... Eg. Grandmother ......................................................................................

Child Details. Child▇▇▇▇▇’s official given name: Child▇▇▇▇▇’s official surname or family name: Child▇▇▇▇▇’s official other names/middle name: Please separate names with a comma Name your child is known by/preferred name: Surname/Family Name: Given Name: Copy of official identity verification document* collected by staff: ❑ New Zealand birth certificate ❑ Foreign birth certificate ❑ New Zealand passport ❑ Foreign passport ❑ Other Staff Initials: Child’s date of birth: dd / mm / yyyy Male ❑ Female ❑ Ethnic origin: Iwi your child belongs to: Language/s spoken at home: Child’s primary residential address: Parents / Guardians: Are parents living together ❑ or separated ❑? First Name(MOTHER): First Name(FATHER): Surname/Family Name: Surname/Family Name: Address:❑ (Same as Child) Address:❑ (Same as Child) Post Code: Post Code: Ph (Work): Ph (Home): Ph (work): Ph (home): Ph (Mobile): Ph (Mobile): Email: Occupation: Email: Occupation: Eg. Aunt ...................................................................................... Eg. Grandmother ......................................................................................