Te Aitarakihi Whānau Members Application Form
Te Aitarakihi whānau are asked to complete this membership form so that our Kaiwhakaritenga can communicate effectively with you. We wish to advise you about future projects and activities at our Marae-ā-Iwi on Bridge Road.  Ngā mihi.
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Email *
Tō Ingoa (your name) *
Preferred Name *
Date of Birth *
MM
/
DD
/
YYYY
What is your gender?
Clear selection
Address *
Nama Waea (phone number) *
Preferred method of communication *
Are you a member of Te Aitarakihi Kapahaka group?
Clear selection
What do you want to see more of at Te Aitarakihi i.e. activities
What educational courses are you interested in and would like to see offered at Te Aitarakihi
Are you interested in volunteering at Te Aitarakihi?
Clear selection
Please list all and any skills that you may be able to help us out with
Are you interested in joining one of our komiti i.e. projects, fundraising, events
Clear selection
Whakapapa
Are you of Māori descent? *
Iwi
Hapū
If not Māori, what is your ethnic group?
Consent
Arowhenua Whānau Service - Do you attend or utilise our free onsite drop-in Health Clinic?
Clear selection
He Manu Hou - Are you involved with, or have tamariki/whānau that attend our onsite Early Learning Centre?
Clear selection
I give permission for Te Aitarakihi to include the above information into their whānau membership database, receive newsletters, emails and be contacted if required. I understand that Te Aitarakihi will use the information provided for future planning and funding applications.  Outside of this, my information will not be forwarded  to any other service or organisation without my permission. I agree to be contacted by He Manu Hou or  Arowhenua Whānau Services if I have selected the respective 'would like to know more'. *
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