Registration Form Manawa TāneLaunch Day A one-day wananga to strengthen hauora for tane of all ages through tools and knowledge. Use the form on this page to register your interest in this event. Home Registration – Manawa Tāne Launch Day Register for the Manawa Tāne Launch Day Manawa Tāne - Launch Day Δ Tāne DetailsName(Required) First Last Date of Birth(Required) MM slash DD slash YYYY Contact Number(Required)Email Address(Required)Ethnicity(Required) Māori NZ European Pacific Islander Other Tamariki DetailsIf your tamariki are accompanying you, please provide their details below. If this does not apply to you, please skip this section and submit.Will your tamariki be accompanying you? Yes No How many tamariki are accompanying you?Please provide the first and last name for all tamarikiPlease provide the date of birth for each tamarikiEthnicity Māori NZ European Pacific Islander Other All tamariki, mokopuna or nephews under the age of 18 must have the consent of a parent or legal guardian to attend or participate in this event. Yes i consent No i do not give consent Do you have any dietary requirements?Are there any disability or accessibility requirements we should be aware of to support you?Yes, I understand(Required) By submitting this form, I understand that: All personal information I share with Te Puna Ora o Mataatua will be dealt with according to the Privacy Act 2020. Any information collected and recorded about me is for Te Puna Ora o Mataatua to provide services to me and my family/Whanau. All personal information I share with Te Puna Ora O Mataatua will only be shared with other agencies with my permission or if Te Puna Ora O Mataatua are require by law to release. Measures will be taken to ensure that my personal information and records will be kept save and secure. I have the right to ask to see all information Te Puna Ora O Mataatua holds about me and to correct or update that information if it is not accurate. Information about my whanau/family may be used for statistical purposes, but only information that does not identify any member of my family/whanau. I can decide to no longer take part in Te Puna Ora O Mataatua at any time. I have the right to make a complaint about Te Puna Ora O Mataatua through a formal complaint procedure. I am entitled to a copy of this consent form. If I know any kaimahi from Te Puna Ora O Mataatua on a personal level, I can request that my involvement and all information that I share with Te Puna Ora O Mataatua be kept that/those kaimahi. I have read the privacy statements and I understand how my whanau/family’s personal information may be used and our rights while engaging with Te Puna Ora O Mataatua. I declare that all the information that I provide throughout my engagement with Te Puna Ora O Mataatua is, to my knowledge, true and correct at the time of disclosure.