Now & Next Parent Quest Registration Form - 2026

Dear Whanau

Thank you for your interest in the Now & Next programme! 

We are thrilled that you are here! 

Please enter your details below so we can register you to our upcoming programme. 

Dates:

Friday 8th May & Saturday 9th May from 10:00 am - 2:00 pm NZST

Venu: Raglan Old Art School, 5 Stewart St, Raglan

This programme is free for participants. It is sponsored by CCS Disability Action Waikato.

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Email *
Your name *
Phone  *
Which category below includes your age?
 *
Your Gender
 *
Do you have concerns about your child's development? Do you have concerns about the development of a person you are supporting? *
Does your child have a diagnosis? Does the person you support have a diagnosis? *
What is your cultural background/heritage?
 *
What language/s is/are spoken at home?
 *
What is your relationship to the child/children/person who you are attending this session for? 
 *
Will you attend this session with a partner | another family member? 
 *
What is the age group of the child/youth you are supporting?
 *
Does this person receive support services? *
If the person receives support services, which organisation(s) are you receiving these from? For instance Enabling Good Lives, CCS Disability Action, Enrich+ or other organisations.
Where did you hear about this Now & Next Quest program?
 *
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