Friends of Northcote College

Friends of Northcote College Registration Form
Complete the following form to enter your details into our Past Pupils database.

Key:	* Compulsory! You must fill in these boxes Items labelled in red are viewable on the Northcote College Past Pupils website. Items in grey are confidential between you and Northcote College, and will NOT be available to website visitors. Refer to our Privacy Policy

First Name *
Last Name *
Maiden name (if applicable)
Also known as (Nickname or name previously known by)
Password*	(up to 8 characters)
Password Confirm*
Date of Birth
Postal Address 1 *
Postal Address 2
Town/City *
Post Code
Country
Phone * include STD e.g. (09) or international e.g. +61 xxxxxxx
Fax
Mobile
First year at school*
Last year at school*
House(whanau) at school
Categories	Past Pupils Staff: Past and Present Local Businesses Board of Trustees Coaches/Managers/Supporters Friends and Neighbours Reunion Committee

*Optional* You are welcome to tell us more about yourself and your situation. NOTE that these details can be viewed if someone searches for you on the Northcote College Past Pupils website
Memories of life at school Share your memories! This section makes fascinating reading for past pupils of your school. Just remember that your memories must be appropriate for display on a public web site!
Marital Status
Number of children
Employment situation
Recreation and Personal interests