Mauri Ora Hikoi

Registration Form

Please note only the first 300 adult registrants will receive a tshirt

Primary Contact Name

First Name

Last Name

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Emergency Contact

Name & phone number

What gender do you identify as?

What age bracket do you belong to?

What Ethnicity do you identify as?

What iwi do you whakapapa to (if any)?

Please type N/A if you don't know or it's not applicable

Primary Contact T Shirt Size

Registration Pack Pickup

Please indicate which timeslot you are able to pick up your pack prior to the hīkoi. Pickup Location in central Nelson to be confirmed.

If you would like to register other whanau members (up to 5), please enter their details below - Otherwise please scroll down to submit registration

Whanau member 2

First Name

Last Name

Age bracket