Taonga Takaro Registration Form

Taonga Takaro

Facilitated by Harko Brown, Sat 27th July 2024
Name*

First NameLast Name
Names & ages of children under 18 that are attending with you*
everyone 18 and over must complete their own registration forms
Age*
Gender
Address*

Street Address

Street Address Line 2

CityState / Province

Suburb and postcode
E-mail*
example@example.com
Phone Number

Area CodePhone Number
Hapuu*
or Iwi ...
Children must be accompanied & supervised by a parent or responsible care-giver...

Cost per person:

$12 for 5-12yrs [C]
$25 for 13-64yrs [A]
Free for 65+yrs [S]

Payment details:

Qld Māori Society Inc
Bsb: 014215
Acc: 180683741
Or
PayID: 0410 072 401 - Ninotchka Taukiri

Ref: TT [your name] [number attending] - eg: TT Notch 2C 1A 1S

No refunds after 14th July 2024...
Please read the following statements before submitting this form.

• I am requesting to participate in the 'Taonga Takaro' workshop offered by Harko Brown and Queensland Māori Society Inc.

• I acknowledge that some physical activity is involved and that the Facilitator, Harko Brown, and the Hosting group, Queensland Māori Society Inc, including it's volunteers & members are not responsible for my and/or my children's supervision, safety, health, & wellbeing.

• Hold Harmless Agreement – I agree to hold harmless the Venue, Queensland Māori Society Inc, including their ‘event’ coordinators, sponsors & volunteers thereof, from any claim for damages, cause of action, or cost whatsoever, in connection with this ‘Taonga Takaro’ workshop, including but not limited to injury to person, damage to property, loss by fire, theft or any other cause, nor will I/we be a party to any law suit.

If you agree to the above statements click on the 'Submit' button to confirm, and to complete your registration.

Mauri ora!
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