Participant Assistance Request Form
Participant assistance request
Award Unit Name
Award Leader Name
Participant Name and Surname (as registered in ORB)
What registration assistance is needed?
Top up Registration fee - Bronze
Top up Registration fee - Silver
Top up Registration fee - Gold
Full Registration fee - Bronze
Full Registration fee - Silver
Full Registration fee - Gold
What is the amount of the top up registration assistance required (up to a max of $50 for Bronze and Silver and $80 for Gold)?
Please provide a brief sentence on the reason for requiring assistance
What Adventurous journey assistance is needed?
Yes - Bronze AJ
Yes - Siver AJ
Yes - Gold AJ
What is the amount of the adventurous journey assistance required (up to a max of $200)?
Is the participant registered in ORB (Online Record Book) for this level? (Bronze, Silver or Gold that you are requesting assistance for?)
No - If no then please do not submit the form until participant has registered
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This form was created inside of The Duke of Edinburgh's International Award Aotearoa New Zealand.