Please allow javascripts to see this page correctly
X close menu

Online enrolment form

Please fill out the form below and click on submit.

























Thanks for your email. We'll be in touch with you shortly.


















CLIENT DETAILS
Contact / Caregiver Details
Publication Information Permission
In compliance with the Privacy Act of 1993 CE Otago requires consent from you to publish the name, photographs of you/your child in any of the publications or on the web site, should the need arise.

CE Otago publishes: a website, a Facebook page, brochure, newsletter

To CONSENT to all of the above please enter a TICK in each box below sign and date at the bottom of the page.

Photo published on Website
Photo published on Facebook page
Photo published on Brochure
Photo published on Newsletter