2-day EOTC PLD - Effective Safety Management Systems PLD
REGISTRATION FORM for TERM 3 2019


Please complete a separate form for each person attending from any one school.

Information entered here will be replicated on a completion certificate. Check for the spelling and capitalisation of your name and of the school.

Your registration will be acknowledged within a week of registration. If you have not heard back after that time, please contact us. Use the Contact Us button on the EONZ website - www.eonz.org.nz

Note that lunch is not provided.

Start times and venue details can be found on the website page.

Location are you registering for *
Select one.
Name of School *
Full name of school, to be used on a course completion certificate.
Your answer
First Name *
Your answer
Surname *
Your answer
Email contact address *
Double check that you have entered this correctly. If a school office address is used, please ensure that all related communications are forwarded directly to the participant.
Your answer
Primary role in the school *
Choose one role from the list below. Do not select EOTC or Sports coordinator unless that is your primary role.
Contact details *
School phone number
Your answer
Alternative contact *
Alternative contact number (Mobile/other). This is a contingency and will only be used in an emergency in the 15 hours leading up to the start of a workshop.
Your answer
Special dietary requirements for morning tea/coffee
Please note any special dietary requirements.
Your answer
Background *
Have you attended EONZ-led 2-day EOTC PLD that unpacks the Ministry of Education EOTC Guidelines in the last 3 years?
*
Have other people from your school attended similar PLD that you are aware?
Are you the EOTC Coordinator or that person with delegated EOTC overview? *
*
If you answered Yes above, are you registered on the National EOTC Coordinator Database yet?
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