Preschool Kit order form

Preschool Kit order form
Your details
Your name*

First NameLast Name
Your email*
example@example.com
Type of kit*

Family kitECE centre kit

Sorry, only Advisors of Deaf Children employed by the New Zealand Ministry of Education may order this free kit. Please get in touch with your child's AODC to request a kit.

Eligibility
- Recipient must be Deaf or Hard of Hearing and aged 0-4 years old
- Family kits: 1 free kit per family
- ECE kits: 1 free kit per ECE centre
Declaration*

I confirm that the recipient of this free kit meets the eligibility criteria.

Recipient details
Student name*

First NameLast Name
ECE centre name*
Delivery address*

Street Address

Street Address Line 2

CityRegion

Postcode
Should be Empty: