Community Partnership Program Registration
Name of School/ECE Centre/Organisation
*
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Name of Program to Receive 5% Donation
*
Additional Details or Instructions (Optional)
Permission to Acknowledge Donation on WebsiteI/We give permission for Kia Kaha Therapy to publicly acknowledge our school’s contribution to the Community Partnership Programme on the Kia Kaha Therapy website.This acknowledgement may include:The name of our school, andThe amount of the donation or sponsorship provided.I/We understand that this information will be used solely for transparency and recognition purposes and will not be shared beyond the Kia Kaha Therapy website.
*
I agree
Submit Registration
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