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  • Whakamana Wahine Registration Form

    Term 1 2026
  • General Information

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  • Residence Information

  • Emergency Contact Information

  • Medical Information

  • Referral Reasons

    If this is an agency or parent completing form as a referral:
  • Self Assessment

  • For funding reporting, please advise yes or no to the following:

  • Privacy Act 

    I understand that Snapback will identify any reasonable foreseeable risks and hazards, and implement effective management procedures to eliminate or minimize these. 


    I know that I am able to ask any questions of the club about the activities my child will be involved in, to gain a better understanding of the risks involved. 

     
    I understand that the club will encourage all ākonga to participate to their full potential, and for some ākonga a support plan will be implemented following discussion with whānau to achieve this.

     
    I understand that behavior will be monitored and support strategies will be put in place to promote the full participation of all ākonga.

     
    I understand my child has been involved in the development of safety procedures and I will do my best to ensure that my child follows these procedures.

     
    My child and I both understand that they may withdraw from an activity if they feel unsafe. This must be done in consultation with the person in charge.

     
    I understand that if my child is involved in a serious disciplinary problem, including the use of illegal substances and/or alcohol, or actions that threaten the safety of others, they will be sent home at my expense.

     
    I understand that the club does not accept responsibility for loss or damage to personal property (either my child’s property or damage to other’s property caused by my child) and that it is my responsibility to check my own insurance policy.

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