Te Whariki :: Membership Renewal

Members:

He tono mo te whai mema ki Te Whariki Tautoko Application for Membership

This form is for use by current members only

If you would prefer to print and send your Registration in please download your Application form here.

INGOA/NAME: Required

WAEA KAINGA/HOME PHONE:

WAEA MAHI/WORK PHONE: (if applicable)

WAEA KAWE/CELLPHONE:

EMAERA/EMAIL: Required

RA WHANAU/BIRTHDATE: Required

MATAWAKA/ETHNICITY:

IWI/TRIBAL AFFILIATIONS:

HAPU/SUBTRIBE AFFILIATIONS:

DECLARATION: Required

This information will be used for the purpose of achieving the aims and objectives of Te Whariki Tautoko and appropriate information retention. Membership status may be published on the Te Whariki Tautoko website in an area which is accessible to the public. Otherwise, unless required by law, personal details will not be shared with any other organisation or individual, except for statistical purposes.

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