2-day EOTC PLD - Effective Safety Management Systems PLD

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?
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service