Power Up! Keeping Youth in Sport
Invoice Registration

Brought to you by Nuku Ora and College Sport Wellington

Event details:

Location: Te Kupenga o Rongomai – Maidstone Sports Hub, Maidstone Park, 11 Railway Avenue, Upper Hutt
Date: Tuesday 26 November 2024
Time: 8.30 am – 3.00 pm
Cost: $70

Please note - if this registration is to be included in an invoice for multiple registrations, please check the appropriate box below.

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1. Name (Required.)

First name

Last name

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2. Email (Required.)

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3. Phone number (Required.)

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4. Organisation name (Required.)

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5. Your role (Required.)

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6. Would you like your registration payment to be included in an organisational invoice? (Required.)

Yes

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7. Your dietary requirements (Required.)

No dietary requirements

Vegetarian

Gluten free/ coeliac

Dairy free

Vegan

Other (please specify)

Personal Information Consent
The information being collected in this form is for the purpose of registering you and/or your organisation's delegates for the Power Up! Keeping Youth in Sport forum and will be held safely and securely by Nuku Ora as organisers of the event.

- I understand I have the right of access to such information, and to correct it by applying in writing via email to: info@nukuora.org.nz or post to: 1/223 Thorndon Quay, Thorndon, Wellington.

Nuku Ora collects personal information to manage participation in the event.

- I consent to Nuku Ora entering my personal and organisation's delegates details contained on the entry form into the Event database which will be used for the administration of the Event.

- I consent to the release of my personal and organisation's delegate's information included in this registration to medical assistance personnel and Event organisers in the event of a medical emergency during my or my organisation's delegate's participation in the Event.

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8. I agree to the above consent regarding the collection and use of Personal Information (Required.)

Yes

Photography Consent
- I consent to be photographed, filmed, videoed or to have my image recorded in any way in connection with the event. I confirm that my organisation's delegates included in this registration also consent to the above.

- I consent to Nuku Ora using any such imagery in connection with the promotion and reporting of this event without payment or compensation.

- I understand I am entitled to request access to such images and to have copies of them.

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9. I have read the above terms and conditions (Required.)

Yes

Power Up! Keeping Youth in Sport Invoice Registration

Brought to you by Nuku Ora and College Sport Wellington

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* 1. Name (Required.)

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* 2. Email (Required.)

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* 3. Phone number (Required.)

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* 4. Organisation name (Required.)

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* 5. Your role (Required.)

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* 6. Would you like your registration payment to be included in an organisational invoice? (Required.)

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* 7. Your dietary requirements (Required.)

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* 8. I agree to the above consent regarding the collection and use of Personal Information (Required.)

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* 9. I have read the above terms and conditions (Required.)

Power Up! Keeping Youth in Sport
Invoice Registration

1. Name (Required.)

2. Email (Required.)

3. Phone number (Required.)

4. Organisation name (Required.)

5. Your role (Required.)

6. Would you like your registration payment to be included in an organisational invoice? (Required.)

7. Your dietary requirements (Required.)

8. I agree to the above consent regarding the collection and use of Personal Information (Required.)

9. I have read the above terms and conditions (Required.)