REGISTRATION FORM
Te Ahurei a Pūkenga
Friday 11 October - Sunday 13 October 2019
Manaia - Coromandel
This form is to register one or more people from the same household to attend the hui ahurei
Contact person name *
You are the contact person in your household for this registration
Your answer
Contact Address *
Number / Street / Suburb / Town-City E.G. 81 The Strand, Tauranga Central, Tauranga
Your answer
Contact phone number *
Your answer
Contact email address *
Your answer
PLEASE NOTE shirt orders are now CLOSED
PLEASE ANSWER THE FOLLOWING QUESTIONS FOR YOUR HOUSEHOLD
Please enter the details for any adults from your household attending - 18years + *
Please give their NAME / AGE . For example: Heni - 45 years, Matiu - 50 years,
Your answer
Please enter the details for any children from your household attending - under 18years *
Please give their NAME / AGE. For example: Levi - 5 years, Aroha - 15 years, shirt
Your answer
Will you need marae accommodation *
Will you be traveling on the pre arranged bus / vans from Tauranga/Maketu and Pakikaikutu? *
If you answered YES to the above question, which bus?
Does anyone in your group have food allergies, please list them below
Your answer
Which kāinga does your whānau affiliate to? *
Required
ADDITIONAL INFORMATION FOR THOSE ATTENDING
Our whānau in Manaia have a great weekend planned for us and have advised that we should all be packing a day bag with water activity gear, a water bottle and warm clothes for after our activities. A checklist will be emailed through before we travel to help you prepare.

A representative from the organising team will be in contact with you to confirm your registration.
Any Comments questions
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy