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Mura Noho Wānanga Series Registration Form

Eligibility:

The Mura Noho Wānanga Series is for rangatahi māmā and parenting couples with whakapapa Māori, aged 16 to 25, who can commit to attending all five wānanga weekends in the series.


Note:

Each parent must complete a separate registration form.

If registering as part of a parenting couple, please provide the other parent’s name below to link your registrations.

  1. Basic Demographics

Gender:
Male
Female
Non-binary
Prefer not to say
Other
Ethnicity (tick all that apply):

  1. Contact Information

  1. Parenting Information

Are you attending as:

  1. Programme Relevance and Motivation

What challenges or barriers are you currently facing in achieving your goals? (Select all that apply)
What specific goals or outcomes do you hope to achieve through participation? (Select all that apply)

  1. Health and Wellbeing Information

Do you have any medical conditions, disabilities, or other needs we should be aware of?
Do you have any dietary restrictions or allergies?
Are you comfortable participating in physical activities?

  1. Participation Commitment

    This programme follows a holistic approach, with each wānanga building upon the previous one to create a journey of personal, cultural, and relational growth. Full attendance is vital for participants to benefit from the entire experience.

Can you commit to attending all five weekends of the noho wānanga series?
Yes
No
Do you have reliable transport to attend the wānanga?
Yes
No
If no, would you need support with transport?
Yes
No

  1. Additional Support and Accessibility Needs


Note: Children are unable to attend the wānanga to ensure participants can fully engage with the experience.

Do you need support with child care while attending the wānanga?
Yes
No

  1. Feedback and Consent

How did you hear about the Mura Noho Wānanga series?
Word of mouth
Social media
Community group
Other
Would you be willing to provide feedback during or after the wānanga series?
Yes
No
Do you give permission for your photos, videos, or feedback to be used for programme promotion?
Yes
No
Do you agree to respect the shared kaupapa of the programme and uphold tikanga during the wānanga?
Yes
No

  1. Personal Interests and Social Networks

Do you speak or have an interest in learning Te Reo Māori?
Yes
No
Do you attend the gym, participate in physical activities, or have an interest in attending group fitness classes?
Yes
No
Do you have supportive network of peers, or are you seeking to form these?
Yes
No
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