Whakatika i tō Mana Event Registration 1 registration per attendee please (please note this event is for ages 12yrs & over only) Please note if you are under 16yrs old, a caregiver must consent & register for you Attendee Name * First Name Last Name Caregivers Name if registrant is under 16yrs First Name Last Name Phone * (###) ### #### Email * Please confirm your email * Attendee Age * Attendee Gender * Female Male Gender Diverse Prefer not to say Attendee Ethnicity * Attendee Iwi * Please let us know below if you have any dietary requirements *Please be aware that registration spaces are limited. Once your registration is submitted, we will not be able to amend your session choice. Make sure to select the correct session before submitting your registration. Which session would you like to attend? * Please select one option only Day 10am-4pm (Rangatahi focused - ages 12-24yrs recommended) Evening 6pm-9pm (Adult focused - ages 16yrs + recommended) Both Sessions (Day & Evening) What does this event mean to you personally and how do you envision prevention in our community? * How did you find out about our event? * Email Newsletter Social Media (Facebook, Instagram, Twitter, etc.) Flyer/Poster Online Advertisement Community Bulletin Press/Media Coverage Event Website Word of Mouth/Referral Other (Please Specify) Thank you, you are now registered!We will be in touch with details via the email provided, soon. If you have any queries, please contact us atmanawamai@maataawaka.co.nz
