GRG Member Update Form
To ensure you receive important information from us and to enable us to support you and your family/whanau it is necessary to keep our membership information up to date. If you have changed your address, phone or email address details, or there are any other changes to your membership status (e.g. children's details) please fill in the form below and click the 'SUBMIT' button at the end. All personal information about you is securely and confidentially held on our client database in accordance with all applicable laws of New Zealand. Alternatively, you can call us on 0800 472 637 and we can update your details with you over the phone.
Your Full Name
*
First Name
Middle Name
Last Name
Your preferred first name you wish to be called
Your Gender
*
Female
Male
Other
Your Date of Birth
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
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31
Day
Please select a year
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
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1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Home Address
*
Region in NZ where you live
*
Please Select
Far North
Northland
Auckland
Thames/Coromandel
Waikato
Bay of Plenty
Gisborne
Hawkes Bay
Taranaki
Whanganui/Manawatu
Wairarapa
Wellington
Nelson Bays/Tasman
Marlborough
West Coast
Canterbury
Otago
Southland
Postal Address if different from above
Your Contact Phone Number
*
-
Prefix
Phone Number
Other Contact Phone Number
-
Prefix
Remaining numbers
Your Contact Email Address
*
example@example.com
Please select the MAIN ethnic groups you identify with. (Note: Limited to TWO groups).
*
(Optional) Please tick all ethnic groups you belong to.
What type of Caregiver are you?
*
Grandparent
Great-grandparent
Kin / Whanau Carer
Foster Carer
Do you have a partner/spouse who is to share membership of GRG with you?
*
Yes
No
If you selected YES to the above question, please provide your partner or spouse's details here.
Your Partner's Full Name
First Name
Middle Name
Last Name
Your Partner's Gender
*
Female
Male
Other
How many children are you raising?
Please Select
1
2
3
4
5
6
7
8
9
10
11+
Please complete the information below for each child in your care. Click the 'Add Another Child' button to add further children.
(Optional) Has there been any Oranga Tamariki (or CYFS) involvement with any of the children in your care in the past? If yes, please state briefly which child/ren and when?
(Optional) If you would like further support from us or a referral to our Outreach and Advocacy team, please select all the issues for which you need support or advice
Financial and Income Support
Guardianship / Parenting
Family Court
Legal aid
Oranga Tamariki
Special Needs / Disabilities
Counselling
General information
GRG Newsletter
Housing
Other
(Optional) Please provide us with a brief outline of your situation and what you need help with. We will contact you shortly to discuss next steps with you.
Submit Form
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