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Express interest
Express your interest in either a Casual Snorkel or Funded EMR Programme around Aotearoa.
For more about what we do check out
www.emr.org.nz
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* Indicates required question
Email
*
Your email
Your name
*
Your answer
Mobile phone number
*
Your answer
School/group you are inquiring on behalf of
*
Your answer
Your role within that school/group
*
Your answer
If you are a parent please enter the name, email and direct dial number of the teacher wanting to lead the programme.
Your answer
When are you interested in a programme? i.e. term 1 2019
*
Your answer
Which region is your school/group in?
*
Northland
Auckland (Includes Waikato)
Hauraki/Coromandel
Taranaki
Gisborne
Wellington
Nelson
Otago
Rakiura
How old are the students involved?
*
5-8
9-12
13-14
15-18
Adults
Required
How many students/participants are you wanting to involve?
*
1-24
25-48
48-60
61-120
121+
Please name your preferred snorkel site
Your answer
Which programme are you interested in?
*
Fully funded
Casual/Camp - user pays
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