Contact Us
Phone / 06 758 4685 | Email /
tari@teatiawa.iwi.nz
0
You have
0 items
in your cart
Go To Shopping
Te Atiawa
Te Atiawa Hapū
Manukorihi
Ngāti Rāhiri
Ngāti Tawhirikura
Ngāti Te Whiti
Otaraua
Pukerangiora
Puketapu
Te Atiawa
Our History
Te Kotahitanga o Te Atiawa Trust
Te Atiawa Iwi Holdings LP
Ngā Marae / Te Atiawa Marae
Te Kohia Pā
Taranaki Mounga Wānanga
Te Kāhui Rangatahi o Te Atiawa
Property Update
Ngā Ratonga
Grants
Education Grants
Te Hononga Grants
Ka Uruora
Te Atiawa (Taranaki) Pātaka Whata
Register with us!
Registration
Update Your Details
Gone No Address List
Te Taiao
Tai Whenua, Tai Tangata, Tai Ao
Te Manuao – GIS System
Taranaki Mounga project
Ngā Pūnanga Kaupapa
News, Updates & Info
Latest News
Taranaki Tū Mai 2023
Newsletters / ePānui
Events
Online Hui-a-iwi
2022 AGM Summary
Key Kaupapa
Taranaki Maunga negotiations
Our Documents
Key Documents
Shop
Contact Us
Contact Us
Phone / 06 758 4685 | Email /
tari@teatiawa.iwi.nz
Te Atiawa
Te Atiawa Hapū
Manukorihi
Ngāti Rāhiri
Ngāti Tawhirikura
Ngāti Te Whiti
Otaraua
Pukerangiora
Puketapu
Te Atiawa
Our History
Te Kotahitanga o Te Atiawa Trust
Te Atiawa Iwi Holdings LP
Ngā Marae / Te Atiawa Marae
Te Kohia Pā
Taranaki Mounga Wānanga
Te Kāhui Rangatahi o Te Atiawa
Property Update
Ngā Ratonga
Grants
Education Grants
Te Hononga Grants
Ka Uruora
Te Atiawa (Taranaki) Pātaka Whata
Register with us!
Registration
Update Your Details
Gone No Address List
Te Taiao
Tai Whenua, Tai Tangata, Tai Ao
Te Manuao – GIS System
Taranaki Mounga project
Ngā Pūnanga Kaupapa
News, Updates & Info
Latest News
Taranaki Tū Mai 2023
Newsletters / ePānui
Events
Online Hui-a-iwi
2022 AGM Summary
Key Kaupapa
Taranaki Maunga negotiations
Our Documents
Key Documents
Shop
Contact Us
0
You have
0 items
in your cart
Go To Shopping
Rangatahi Wānanga Online Registration
Rēhita
Register online for Te Kāhui Rangatahi o Te Atiawa wānanga.
Te Kāhui Rangatahi o Te Atiawa Wānanga Registration Form 2023
NAU MAI HAERE MAI ....
We are proud to be hosting our Te Kāhui Rangatahi o Te Atiawa Wānanga on 19 - 21 May at Kairau Marae. We are offering this Wānanga to uri aged 13 - 39 years old. Please complete this registration form which will take between
10-15 minutes to complete.
Please make sure you have a reliable internet connection when completing the form as there is no guarantee that your progress will be saved if your connection is interrupted.
If you have any questions about the online form or have a general question please contact us at
comms@teatiawa.iwi.nz
or on
06 758 4685
.
Ngā mihi.
Parents need to ensure that their tamaiti/tamariki arrive and depart at the appointed times. If there are any emergencies that would interfere with travel arrangements please contact the organiser at
comms@teatiawa.iwi.nz
as soon as possible.
The Facilitator/Coordinators will be implementing a '
Zero Tolerance
' policy for drugs, alcohol and physical violence. The Facilitator will be contacting parents to pick up their tamaiti/tamariki if they have been involved in any of these acts.
Privacy
Te Kotahitanga o Te Atiawa Trust and Te Atiawa (Taranaki) Settlements Trust will act in accordance with the provisions of the Privacy Act 1993, make available to you upon request the personal information it holds about you and will make any appropriate corrections to that information to ensure that the information held is accurate.
Wānanga Participants Personal Information
Please complete all the required fields.
Hidden
First Name
*
Hidden
col1 end
Hidden
Last Name
*
Hidden
col1 end
Hidden
ROW1
Hidden
Date of Birth
*
DD slash MM slash YYYY
Hidden
col1 end
Hidden
Age
*
IMPORTANT:
If you are between
13-14 years old
you
must
be accompanied by an adult who will actively supervise and also sleep over at the wānanga.
The Parent/Guardian/Caregiver details section will need to be completed by your parent/guardian/caregiver.
Please enter a number from
1
to
100
.
Hidden
col2 end
Hidden
ROW2
Contact Details
Hidden
Address Line 1
*
Address Line 2
Town / City
*
Postcode
Country
*
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Greenland
Grenada
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Sudan, South
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Yemen
Zambia
Zimbabwe
Hidden
col1 end
Hidden
Email
Mobile
Hidden
col2 end
T-Shirt size
Please select one.IMPORTANT: If you do not register before 5pm 10 May 2023 we cannot confirm that you will receive the correct t-shirt size.
*
Please select one.
IMPORTANT:
If you do not register before 5pm 10 May 2023 we cannot confirm that you will receive the correct t-shirt size.
S (small)
M (medium)
L (large)
XL (extra large)
XXL
XXXL
Hidden
ROW3
Hapū Affliation
Please select one or more from the following list of Te Atiawa (Taranaki) hapū which you affliate to.
Te Atiawa (Taranaki) hapū
Ngāti Rahiri
Manukorihi
Otaraua
Pukerangiora
Puketapu
Ngāti Tawhirikura
Ngāti Te Whiti
I'm not sure
Hidden
ROW3
Medical Information & Disclosure
Please complete all the required fields in this section.
Hidden
Doctor's Name
Hidden
col1 end
Hidden
Doctor's Phone
Hidden
Medical Disclosure
Do you have any medical conditions we may need to know about?
*
Yes
No
Details
Have you had any serious injuries that may affect you?
*
Yes
No
Details
Have you had any illness(es) in the last two months?
*
Yes
No
Details
Are you on any medication(s)?
*
Note: Please bring this with you as well as spare medication
Yes
No
Details
Do you suffer from any allergies?
*
Yes
No
Details
Do you have any special dietary requirements?
*
Yes
No
Details
Is there anything that we should know about you?
*
Yes
No
Details
Medical Consent
*
In case of severe allergic reaction to a wasp/bee sting, you the Participant give permission for the Facilitator/Coordinators to supervise the self-administration of antihistamines. If you consent please tick the box to confirm.
YES
Hidden
ROW3
Parent/Guardian/Caregiver Details
IMPORTANT:
The Parent, Guardian or Caregiver who will be attending the wānanga with the Participant must complete all the fields in this section.
Name(s)
Address Line 1
Address Line 2
Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Greenland
Grenada
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Saint Martin
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Sudan, South
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Yemen
Zambia
Zimbabwe
Hidden
Phone (Home)
Phone (Work)
Hidden
col1 end
Hidden
Mobile
Hidden
Relationship to participant
e.g. Parent, Guardian, Caregiver
Media Consent Form
As the Parent/Guardian/Caregiver of the Participant you will be asked to sign a consent form when you arrive to allow us to use photos / videos of you and your child participating at the Te Kāhui Rangatahi o Te Atiawa wānanga. Please tick the box to confirm that you will sign the provided consent form.
YES
Parent/Guardian/Caregiver Consent
As the Parent/Guardian/Caregiver of the Participant you will be asked to sign a consent form when you arrive at the Te Kāhui Rangatahi o Te Atiawa wānanga which will be provided to you by the wānanga Facilitator/Coordinators. Please tick the box to confirm that you will sign the provided consent form.
YES
Hidden
ROW3
COVID-19 Guidelines
COVID-19 Requirements
We will be monitoring the situation and the wānanga will be structured to meet COVID-19 requirements for events. The venue (Kairau Marae) has strict health and safety procedures in place. You shouldn’t participate in any gatherings if you have COVID-19 symptoms or if you need to be in isolation for any reason.
Participant Consents
Risk Management Consent
When taking part in any activity, risks are encountered. These risks are managed by the Facilitator/Coordinators who make decisions about acceptable risks, whilst enabling participants to build their skills, knowledge, experience, confidence and judgement. Facilitator/Coordinators will make decisions on behalf of the group about the acceptability of certain risks. Participants must follow the instructions of Facilitators/Coordinators in regards to safety and risk management.
Participants Consent
*
You the Participant understand that there are risks associated with activities in the outdoors. You are aware that the Facilitator/Coordinators will take all reasonable steps to manage these risks to an acceptable level and to set appropriate safety standards.
At any time during the wānanga you understand that you are free to ask information on an activity and make your own decision on the level of involvement suitable for you alone.
Where the level of risk has been stated unacceptable by a Facilitator, coordinator, or yourself, you agree to refrain from taking any actions affecting the safety of yourself or others whilst you are taking part in the wānanga. You also acknowledge that images can be taken of you while at this wānanga and that these images can be used for promotional and educational purposes.
You will be presented with a participants and media consent forms to sign when you attend the wānanga.
Please tick the box to confirm your consent.
YES
Hidden
ROW3
Declaration & Submit
Declaration
*
I hereby declare that the information provided in this application is true and correct. By ticking the box you confirm this declaration.
YES
Phone
This field is for validation purposes and should be left unchanged.