Kohine Purotu 2023
  • Kōhine Purotu Registration 2023

  • 15 WEEK PROGRAMME

    Start date: Week of the 28th Aug 2023 
    End Date: Week of 4th December 2023
    Graduation: 10th December 2023

  • KO WAI KOE

    Who are you
  • PEPEHA

    Do you know your pepeha? Please fill in as much as you can, if you do not know leave blank.
  • CONTACT INFO

  • Format: (000) 000-0000.
  • HEALTH

  • EMERGENCY CONTACT DETAILS

  • Format: (000) 000-0000.
  • ALTERNATIVE CONTACT

  • Format: (000) 000-0000.
  • COURSE INFO

  • Personal Consent
    I agree to take part in the “15 Week Kōhine Purotu" programme 2023 and have received sufficient information on which to base a decision. I agree to participate in the activities involved. I acknowledge the need for myself to behave responsibly.

    Acknowledgement of Risk
    I understand that there are risks associated with involvement in EOTC events and that these risks cannot be completely eliminated. I understand that the “Kōhine Purotu”’ team will identify any foreseeable risks or hazards and implement correct management procedures to eliminate, isolate or minimise those hazards. I understand that I will be involved in the development of safety procedures. I will do my best to follow these procedures.

    Consent for Profile and Photography
    I give permission for photographs, written content, and film footage of myself to be used by “Kōhine Purotu" for promotional purposes. I understand that the photographs, written content, film footage may appear on "Purotu”’ social media platforms, posters and a wide range of print and online publications produced.

    I know that I am able to ask any questions of the “Kōhine Purotu”’ team about the activities I will be involved in, to gain a better understanding of the risks involved. I recognise that participation in such activities is voluntary and not mandatory through a ‘challenge by choice’ procedure. I understand that I may withdraw from an activity if I feel at risk. This must be done in consultation with the person in charge.

    I understand that the “Kōhine Purotu" team does not accept responsibility for loss or damage to personal property.

    I understand the “Kōhine Purotu" will follow the Privacy Act 1993 requirements and not use this information for any other purpose or disclose to a third party without my consent.

    I understand I have the right to access and correct information about myself that is held by “Kōhine Purotu".

  • Clear
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