1. Please complete the form below to register your attendance for this year's forum.


Theme:
Māori and Pacific Nurses and Midwives equipped to lead: we are the solution

Date: Friday 19th November 2021
Time: 9am to 4pm
Venue: Silverstream Retreat, 3 Reynolds Bach Drive, Stokes Valley, Lower Hutt 5019

There are no costs involved in attending the Māori and Pacific Nurse and Midwife Forum 2021.

Please note that the Māori and Pacific Nurse and Midwife Forum may need to be postponed or cancelled due to unforeseen circumstances such as a change in COVID-19 alert levels.

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* 1. Your name

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* 2. Your profession

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* 3. Your contact details
(in case we need to contact you urgently for unforeseen changes such as a move in Alert Levels)

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* 4. Your employer

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* 5. Do you have any special dietary requirements?

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* 6. Do you consent to your details being included in a distribution list for health initiatives related to ethnicity?

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