Registration for Disability Consultation
Please confirm your attendance by filling out this form
Full Name
First Name
Last Name
Email address
example@example.com
Which session are you attending? (Please select one only)
*
Gisborne - 1pm-3:30pm (To Be Confirmed)
Dunedin - 11am-1.30 (19 March)
Christchurch - 2pm-4:30pm (21 March)
Online - 22 March - 4pm-6:30pm
Online - 24 March - 4pm-6:30pm
We are working with communities impacted by recent weather events to find suitable dates and times for their contributions. When you sign up for your session we will send through confirmed details of date and venue.
Dietary requirements
Please state your accessibility needs
Accessibility needs include requiring a New Zealand Sign Language Interpreter, a lower sensory environment or any other accommodations you need to equitably contribute.
Will you be bringing a support worker?
Please Select
Yes
No
If Yes, Please tell us their name and dietary requirements.
Please describe how you identify with the disability community.
Please Select
Disabled
d/Deaf
Neurodivergent
Health condition
Lived experience of mental distress
Parent
Ally
Other
Please feel free to
click here
to contact us directly.
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