kei au!

Registration Form for Kei Au Attendees

Question Title

* 1. What is your name?

Question Title

* 2. What is your age?

Question Title

* 3. What is your iwi?

Question Title

* 4. What is your address?

Question Title

* 5. What is your Phone Number?

Question Title

* 6. Have you voted before in the general election?

Yes

I dont know

Question Title

* 7. Please indicate which wananga you will be able to attend

Wananga 2: 25th-27th August

Wananga 3: 13th-15th October

Question Title

* 8. Please indicate if you require transport to attend the wananga

No I do not require transport

Yes I require transport (if you tick this field, we will make contact with you to arrange transport)

I have access to transport but require financial support (koha) to attend

Question Title

* 9. I agree to the following terms of engagement

I hereby confirm that I will be participating in the Kei Au project

I agree to the use of my personal information to inform any reporting requirements, data analysis, evaluation or other such purposes.

I accept responsibility for myself when attending wananga, and will ensure I act in an appropriate manner according to the kaupapa of the Kei Au project.