Mountains to Sea Wānanga Conference 2017

Friday 21st April – Sunday 23rd April 2017

Omaha, Te Kiri Marae, Leigh, Auckland

Name *
Your answer
Organisation and/or position *
Your answer
Postal address *
Your answer
Home or office phone *
Your answer
Mobile Phone *
Your answer
Email address *
Your answer
Emergency contact *
Name, relationship, phone
Your answer
Medical conditions
Please tick and comment below
If you ticked any of the above please comment below
Your answer
Special food requirements
Your answer
Preferred focus topic *
Please select for evaluation purposes
Preferred field trip option *
Group Field Trip *
Do you have a show n tell item? *
A chance to gain feedback on your project or to share something worthwhile ('Citizen Science' themed)
If yes, please select whether it is a presentation or an interactive activity
A chance to gain feedback on your project or to share something worthwhile ('Citizen Science' themed)
Do you want to display posters or information on your projects
If so, please outline what you would like to display
Your answer
Please indicate if you would like to include any items in the wānanga conference pack *
If so, what
Your answer
Field Trips
For the field trip options, extra transport may be required. To keep our registration fee as low as possible, we need your help. *
If you have your own vehicle could you help transport people to and from field trips?
If yes, how many could you take?
Your answer
Children/tamariki are welcome to attend (we may provide a sitter)
Additional registration fee of $150.00 is required for children 5-15 years. Please enter the number and ages of children.
Your answer
During the wānanga - do you agree for you and/or your children's pictures to be taken and used for promotional purposes? *
Cancellation Policy
In the event of cancellation or postponement by the organisers for unforeseen circumstances, registration fees will be refunded in full. Participant cancellations notified to wānanga organisers before 5pm, 24th of March 2017 will be refunded in full. Participant cancellations received after 5pm 24th of March will be refunded 50% of registration. All participant cancellations received after 5pm, 17th of April 2017 will not be refunded and registrations would have to be paid in full. Field trips are subject to suitable weather conditions, we appreciate your support and understanding if we have to relocate or cancel.
Please select below to indicate whether you understand this policy *
Registration Details
Your registration fee covers professional development, airport transfers, all meals, field trips and marae style accommodation. You are welcome to source your own alternative accommodation, but this would be at your own expense.
Attendance *
Please indicate which days you plan to attend the Wananga
Accomodation *
Registration fees (includes GST of 15%) *
Please select
Travel *
Participants should arrange their own transport/airfare to the wananga. If intending to travel by plane. Please provide us with your flight details. We will arrange a airport pick up and drop off to Auckland Airport on the morning of the 21st April and afternoon of 23rd April.
If you require a pick/up drop off please enter your flight details below
Your answer
Payment Options *
Equipment and Facilities
Toiletries, pen & paper, camera, ear plugs for light sleepers. Mattress, pillow, pillow case and sheets are supplied. Bring your own sleeping bag. Warm clothes and wet weather gear. Headlamp or torch. Wind proof jacket. Towel & togs. Snorkel equipment supplied (or bring your own). Good walking & in stream footwear (gumboots or waders).There may also be material available to purchase at the wananga, such as mask & snorkels, books and tee shirts to support the programmes or our partners.
See below for a video of our 2016 Wananga in Gisborne
Never submit passwords through Google Forms.
This form was created inside of Experiencing Marine Reserves. Report Abuse - Terms of Service - Additional Terms