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This form is available in the following languages
te reo Māori | español | አማርኛ | français | português | 中文 | العربية | हिन्दी | فارسی
Please provide us with some information about yourself and the player applying | Homai ētahi kōrero mōu me te kaitākaro kei te tono
Please select the category of assistance you require/Tīpakohia koa te kāwai āwhina e hiahia ana koe:
Kākāriki = Full assistance (Registration fees, Equipment (boots, shorts, socks), transportation and communication assistance)/Katoa te awhina (Nga utu rehitatanga, Taputapu (putu, tarau poto, tokena), awhina kawe me te whakawhitiwhiti korero).
Kōwhai = Partial Assistance (Registration fees & equipment)/Awhina Wahi (Nga utu rehita me nga taputapu).
kikorangi = Registration Assistance (Registration fees)/Tautoko Rehitatanga (Nga utu rehitatanga).
What kind of football do you want to play? / He aha te momo o te whutupaoro e hiahia ana koe ki te takaro?
Club/karapu.
School/Kura.
Both/ E rua.
What is your relationship with the Child who is applying for the Football for All program? | He aha tō whanaungatanga ki te tamaiti e tono ana ki te kaupapa Football for All?
*
Parent/Guardian - Matua/Kaitiaki
Close Friend - Hoa Tata
Organisation Representative - Māngai Whakahaere
I am the player
Back | Tōmua
Next | Panuku
Which Organisation? | Ko tēhea te whakahaere?
Back | Tōmua
Next | Panuku
Contact Information (Adult i.e. Parent, Guardian, etc)
Your Full Name | Tō Ingoa Whānui
*
Please enter your phone number | Tāurua tō nama waea
*
Please enter your email | Tāurua tō īmēra
*
Address | Wāhi Noho
*
Address | Wāhi Noho
*
Postcode | Tātai poutāpeta
*
Suburb | Taone nui
City | Tāone
*
What language are you most comfortable communicating in? | He aha te reo whakawhitiwhiti e pai ana ki a koe?
*
Back
Next
Child's Details | Ngā Taipitopito mō te Tamaiti
Please provide us now with the Child's details | Homai ināianei ngā taipitopito mō te tamaiti
First Name | Ingoa Tuatahi
*
Family/Last Name | Ingoa Whānau
*
Date of Birth (Day/Month/Year) | Rā Whānau (Rā/Marama/Tau)
*
Are they over 17 years old?
*
Yes/Āe
No/Kāo
Gender | Ira Tangata
*
Address (if different to adult applying) | Wāhi Noho (mēnā he rerekē ki te pakeke kei te tono)
Suburb | Taone nui
Child's Ethnicity or Nationality | Mātāwaka, Iwi rānei o te Tamaiti
*
Country of Birth |
*
Best understood Language | Te Reo e tino mārama ana ki a koe
*
What School Does the Child attend? | Kei tēhea kura te tamaiti?
*
Back | Tōmua
Next | Panuku
Were you apart of the 2021 Football For All programme? | I wehe atu koe i te kaupapa Whutupaoro Mo Te Katoa 2021?
YES/Āe
NO/Kāo
Has the Child played football before? | Kua tākaro whanapoikiri anō te tamaiti?
*
YES/Āe
NO/Kāo
Did the Child play football last season? | I purei whutupaoro te tamaiti i tera tau
YES/Āe
NO/Kāo
Has the Child ever been or is still registered to a Football club in New Zealand? | Kua rēhita anō, kei te rēhita rānei ia te tamaiti karapu whanapoikiri i Aotearoa?
*
YES/Āe
NO/Kāo
Back | Tōmua
Next | Panuku
Which Club or Where? | Ko tēhea karapu, i hea rānei?
What was the reason the Child stopped playing football? | He aha te take i mutu ai te tākaro whanapoikiri a te tamaiti?
They are still playing for a club / Kei te tākaro tonu mō tētahi karapu
No Transport / Kore Ikiiki
Affordability / Whaiutu
No Gear / Kāore he Taputapu
Other / Tētahi atu
Back | Tōmua
Next | Panuku
What size shoes does the Child wear? | Pēhea te nui o ngā hū o te tamaiti?
Children's/Tamariki
Women's/Wāhine
Men's/Tāne
Shoe Size | Hu Rahi
What size shorts does the Child wear? | Pēhea te nui o ngā tarau poto o te tamaiti?
Children's/Tamariki
Women's/Wāhine
Men's/Tāne
Shorts Size | Poto Rahi
What size shirts does the Child wear? | Pēhea te nui o ngā hāte o te tamaiti?
Children's/Tamariki
Women's/Wāhine
Men's/Tāne
Shirt Size | Koti Rahi
Back
Next
Do you have a preferred club you would like to join? | He karapu anō tōu e tino hiahia ana koe ki te whakauru atu?
Are you more comfortable with a male or female coordinator/contact person? | Ka pai ake ki a koe mēnā he tāne, he wahine rānei te kaiwhakarite/tangata hei whakapā rānei?
*
Male/Tāne
Female/Wahine
Don't Mind/Kāore he aha
Please write a short paragraph why you think you are good candidate for the Football for All programme | Tuhia mai he kōwae poto mō te take he tino kaitono koe mō te kaupapa "Football for All"
*
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