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  • Ki Tua i te Kēmu

  • Beyond the Game - Online enrolment form

  • Free three-day basketball clinic for rangatahi aged 14-18

  • Saturday 3, Tuesday 6 and Thursday 8 October 2026 | 9.00-10.30am each day
    Franklin Pool & Leisure, Stadium Drive, Pukekohe

    The programme combines practical basketball coaching, drills and team activities with age-appropriate kōrero about healthy relationships, personal boundaries, communication and consent. Participants are expected to attend all three sessions. Spaces are limited.

    The programme is being provided by Te Ahi Kaa and Hauora Trust.

  • 1. Who is completing this form?

  • Please select one:*
  • If the participant is under 18, this form must be completed by their parent or legal caregiver.

  • 2. Rangatahi details

  • Date of birth*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Format: (000) 000-0000.
  • Can the rangatahi attend all three sessions?*

  • 3. Parent or caregiver details

  • Format: (000) 000-0000.

  • 4. Emergency contact

  • Please provide someone other than the parent or caregiver named above where possible.
  • Format: (000) 000-0000.

  • 5. Health and support information

  • Does the rangatahi have any medical conditions, allergies, injuries, disabilities, medication, mental health needs or other support needs that we should know about?*
  • Are there any activities they should avoid or adjustments that would help them participate safely?*
  • Will the rangatahi bring medication they may need during the clinic, such as an inhaler or EpiPen?*

  • 6. Getting to and from the programme

  • No transport is provided. Parents, caregivers and participants are responsible for arranging travel to and from Franklin Pool & Leisure.
  • At the end of each session, the rangatahi may:

  • 7. About the programme

  • The clinic will include basketball coaching, fitness activities, drills, games and team challenges. It will also include facilitated, age-appropriate kōrero about:
    • Healthy and respectful relationships
    • Personal boundaries
    • Communication
    • Recognising and respecting consent
    • Making safe choices and seeking support

    The kōrero will be delivered in a respectful way suitable for rangatahi aged 14-18. Participants may ask questions, contribute to the discussion or listen respectfully. They will not be pressured to share personal experiences.
  • 8. Participation and safety*

  • 9. Safeguarding

  • Hauora Trust is committed to the safety and wellbeing of rangatahi. If a staff member or facilitator becomes concerned that a young person may be experiencing abuse, neglect or a serious risk of harm, relevant information may need to be shared with appropriate people or agencies to help keep them safe.

  • 10. Photos and video

  • Photos or short videos may be taken during the clinic for reporting, promotion, social media and future programme communications.
  • Do you give permission for identifiable photos or video of the rangatahi to be used?Choosing no will not affect their ability to participate.*

  • 11. Privacy and ongoing communication

  • Hauora Trust and Te Ahi Kaa collects this information to manage enrolment, communicate with participants and caregivers, meet programme reporting requirements and support safe participation.

    Information will be stored securely and only shared where necessary to deliver the programme, meet legal or funding responsibilities, or help keep someone safe. You may request access to or correction of personal information by emailing admin@hauoratrust.org.

  • Hauora Trust and Te Ahi Kaa can mail me about future programmes and activities. I can unsubscribe at any time.

  • 12. Declaration and consent - participants under 18

  • I confirm that:
  • Date
     - -
    2 digit month, 2 digit day, 4 digit year
  • Format: (000) 000-0000.

  • For participants aged 18

  • I confirm that:
  • Date
     - -
    2 digit month, 2 digit day, 4 digit year
  • Should be Empty: