Manurewa Marae

Manurewa Marae

Support Referral form For Whanau
Name*

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Address*

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Name of Child

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Name of Child

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Name of Child

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Name of Child

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Date of Birth

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What is your need from Manurewa Marae*

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Consent to Recieve Services

I understand the consents of the service agreement with Manurewa Marae, my rights and responsbilities and the compliants process. I therefore consent to recieving services from Manurewa Marae.

You can request to see full disclosure of Manurewa Marae consent and rights.
I have read and understood the Consent to Receive Services:*

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