Romiromi & Rongoā Wānanga Tuarima

1

Please confirm that you meet the criteria for Whānau Māori and Fānau Pasifika only. You must provide your whakapapa to the Takitimu Waka. If this is not included, your application may not be accepted. Please use the box below to write your response in English or Te Reo Māori. If you don’t meet the criteria, you will be notified by email or phone text immediately.

WHAKAPAPA to the Takitimu Waka

2

Whānau travel from across the North & South Islands and Australia to attend these wānanga. To prevent unregistered attendance, the marae name and address will only be emailed on the Monday before the wānanga. Please ensure your name, email and phone number is correct.

Yes I understand or No

3

Name* This field is required.

First Name

Last Name

4

Cell Phone Number* This field is required.

Please enter a valid phone number.

5

Email Address: Please take the time to check that this is CORRECT or we can't contact you if there are any problems with your registration.

example@example.com

6

What is your gender?

F IS FOR FEMALE

M IS FOR MALE

7

What is your age?

8

Gentle reminder for your whānau registration form please. NO siblings, cousins or friends to be registered with you please?

Have you asked them to fill out a registration form of their own.

9

Please enter the NAME of each whānau member, and their AGE group Pepi 0 - 4 : Tamariki: 5 - 12, Rangatahi 13 - 25, Matua: 26 - 64, Pakeke: 65+

10

Please enter the GENDER for each whānau member next to their NAME:

M for Male or F for Female

11

Confirmation of Statistics needed for reporting purposes. Please confirm you have stated the name, age, and gender of each whānau member?

No siblings, cousins, friends or colleagues please.

12

In case of an emergency, please state your next of kin and cell phone number.* This field is required.

Name

Cell phone number

13

Will you be attending the pōwhiri at 9am on Friday 5th June?

Yes/No

14

Which days will you be coming to the wānanga?

Friday

Saturday

Sunday

15

Will you be staying on the marae? If so, please state the nights and numbers staying?

Friday & Saturday or NO

16

If you are staying on the marae, please bring your own pillow, linen and blankets.

Yes or No

18

Our catering is sugar free for the duration of the wānanga. The sugar affects the behaviour of tamariki and rangatahi. Please CONFIRM that you or anyone coming with you will not to bring any sugar foods, lollies, biscuits, cakes, ice blocks, fizzy drinks or ice cream on to the marae.

Yes/No

19

We cannot cater to specific diets. We provide sugar free, gluten free, and dairy free kai with either chicken, vegetable or fish for meals. If you have another diet, please confirm that you will bring your own kai.

Yes or No

20

Are you able to koha any fruit or vegetables? If so please state what you can bring. If not, no worries.

Yes (what will you bring) or No

21

If you would like to participate in romiromi, please bring an extra sheet.

Yes I understand

22

Please confirm that you will be respectful and considerate of other whānau throughout the duration of the wānanga on the marae.

23

To keep our tamariki and rangatahi safe, please confirm that you will not be bringing any drugs or alcohol to be consumed on the marae? Otherwise, you may be asked to leave.

Yes I understand or No

24

If you are bringing tamariki or rangatahi, they will need to be with us in the wharenui as the trustees have instructed us that no children are to be running around unsupervised on this marae. Please confirm that you understand.

25

Are you able to bring a massage table?

26

If you would like to go to the Ocean Spa, remember your bathers and towel.

https://www.oceanspanapier.co.nz/about-us/entry-fees/

27

If you have any questions, please email Dr Charlotte Mildon on admin@hmmct.com and you will receive a reply within a few days.

28

If you have an urgent patai, please text Dr Charlotte Mildon on 027 557 5002.

Please do not text to ask if you can come to the wānanga if you are not Māori or Pasifika, as you may not get a reply

29

Thank you for taking the time to fill out this registration form. Let us know if you have any additional Comments or Special Needs.