Hapū Wānanga Registration Form


To register for the Hapū Wānanga Programme please fill out all the form below:

Personal details

Full name:
Date of birth:
NHI (If known):
Landline number:
Mobile number:
Facebook name:
Iwi & Hapū:
Postal address
Whats the best way to contact you?


About your pregnancy

Due date:
GP's name:
Midwife's name:
Is this your first pregnancy?

Are you smoke free?


Other information

Will you be bringing a support person(s)
Name of support person:
Support person's phone:
Do you have any food allergies?
If yes, please provide details:
Photographs will be taken throughout the wānanga. Do you consent to photos being taken and used for promotional material?



Last updated: Friday, September 6, 2019

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