Pikopiko Enrolment Form

Pikopiko!
Drama Classes for rangatahi at the Māoriland Hub!

Use this form to enrol your tamariki in Pikopiko. Please complete this form individually for every tamariki in the whānau.

Classes run from 4:00pm - 6:00pm on Monday nights
May 2 - June 13
Participant Name*

First NameLast Name
Birth Date*

MonthDayYear
Gender*
Preferred Pronouns*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Iwi/Hapū (If relevant)
Ethnicity
Prior Experience
Parent/Caregiver
Name*

First NameLast Name
Contact Email*
example@example.com
Mobile Number*
Additional Comments
Please use this box to let us know if there is anything we should know about the tauira - this could be allergies, sensitivities or learning difficulties.
Health & Safety Declaration
Māoriland is committed to creating a safe environment for all our kaimahi and visitors.

All kaimahi are police vetted and vaccinated against COVID-19.

We ask that if your tamariki has any cold/flu or COVID-19 symptoms that they stay home. If you let us know in advance, we may be able to provide online access to the class.
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Pikopiko!