Wahakura Wānanga Registration Form

Date: 2nd and 3rd August 2018
Venue: Torere Marae, State Highway 35 Torere

FREE WĀNANGA , NO FEES APPLY

Note: registration closes 31st July 2018

Please complete the form below to register.

Contact Details
Name/Ingoa *
Your answer
Surname/Whanau *
Your answer
Address/Kainga *
Your answer
Contact Number *
Your answer
Iwi *
Your answer
Email *
Your answer
Please tick option that applies *
Group Details
Number of people attending *
Organization Name
Your answer
Organization address
Your answer
Health Promotion & Weaving
I am interested in *
Required
health promotion stand (Please state below) *
Please state here
Your answer
Experience
Marae accommodation required overnight Thursday 2nd August 2018 *
Required
Dietary Requirements *
Required
Please state here (dietary requirements)
Your answer
Please note that the tikanga for this Wānanga is to be Smoke-Free this aligns with the kaupapa of protecting our babies and providing them with safe sleep environments.
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms