ShadowTech Mentor Registration
Please complete one form per region you wish to participate in.
Which ShadowTech event does your organisation wish to participate in? *
Please advise how many students you can accommodate in this region (minimum two). *
Your answer
Organisation
Organisation Name *
Your answer
Website URL *
Your answer
Has your organisation participated in ShadowTech before? *
Regional Contact Details
First Name *
Your answer
Last Name *
Your answer
Position Title *
Your answer
Email *
Your answer
Contact Phone Number *
Your answer
Terms and Conditions
I understand that we are responsible for all aspects of health and safety for the students whilst in our care and visiting our premises in accordance with the Health and Safety at Work Act. *
I confirm that the person responsible for transporting the students has a valid New Zealand full drivers license. *
I hereby verify that our participating mentors have no criminal records. *
Please confirm
We are happy for NZTech to film and/or take photos of our staff and business during ShadowTech for use in ShadowTech marketing and communications. *
Submit
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