Te Waipounamu Kia Piki Te Ora - Haere Tonu Hīkoi & Symposium World Suicide Prevention Day registration

Tēnā koe,

 

Thank you for your interest in attending our collective Te Waipounamu Kia Piki Te Ora all ages suicide prevention campaign 'Haere Tonu' Hīkoi. We are hosting a symposium on World Suicide Prevention Day at He Waka Tapu in Ōtautahi.

 

Travel and accommodation are complimentary if you select to travel in the mini vans. If you wish to use your own vehicle, it will be at your own expense, however if you choose to stay at the marae this is complimentary.

 

Please complete the registration form.  You will receive a confirmation of your registration with further details outlining the Haere Tonu Symposium. 

NB: Incomplete registrations will not be accepted.

 

Ngā mihi

 

Louise Rudolph

Kia Piki Te Ora | Suicide Prevention Programme Co-ordinator

Maataa Waka Ki Te Tau Ihu

 

1. Full Name *

 

2. Iwi Māori affiliations if known:

 

3. Email address: *

 

4. Best contact telephone number: *

 

5. Name of workplace:

 

6. About your role:

 

Please indicate your preferences below *

YesNo
Monday 9th September 2024 - seat in mini van 
Tuesday 10th September - Symposium in Ōtautahi
Wednesday 11th September 2024 - seat in mini van
 

Choose your pickup point (times and locations TBC). 

 

7. Accommodation at Nga Hau e Wha Marae, 250 Pages Road, Papanui: Please select the night(s) you will be staying on the marae with us for catering purposes.

 

8. What is your t-shirt size? *

 

Do you have any medical condition(s) and any medication(s) we need to be aware of? *

 

Do you have any special dietary requirements? Please give details. *

 

9. Please list your emergency contact name, phone number and relationship to you: *

 

10. Media consent: Photos taken on this kaupapa may be published to our website, social media, or other media.  Do you consent for images and/or videos of you to be used for marketing and/or promotional purposes?

If you select no we will do our very best, however you may feature in group photos or in the background of videos. *