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WHANAU REGISTRATION FORM

Surname
First Name
Date of Birth
Address
Suburb/Post
Code
Occupation
Home Phone
No.
Mobile Phone
No.
Email
Iwi Affiliations
Membership
Type

Performer

(Whakataetae)

Performer
Supporter

(Whakangahau
)

Partner
Surname
First Name
Date of Birth
Occupation
Iwi Affiliations
Membership
Type

Performer

(Whakataetae)

Performer
Supporter

(Whakangahau
)

Tamariki/Mokopuna
Name:
Membership
Type
Name:
Membership
Type

Performer

(Whakataetae
)
Performer

(Whakataetae

Date of Birth:
Performer
Supporter

(Whakangahau)
Date of Birth:
Performer
Supporter

(Whakangahau)
1

)
Name:
Membership
Type
Name
Membership
Type

Performer

(Whakataetae
)
Performer

(Whakataetae
)

Date of Birth:
Performer
Supporter

(Whakangahau)
Date of Birth:
Performer
Supporter

(Whakangahau)

Where did you find out about Manawa Mai Tawhiti?

Why did you decided to join Manawa Mai Tawhiti? ( kapa


haka whakataetae or whakangahau, whakawhanaungatanga,
Te Reo, tikanga etc.)

What skills can you offer to assist Manawa Mai Tawhiti?


(administration, budgeting, small business,
property/housing, marketing ,cooking, cleaning, sewing,
public relations, contacts, sales, cross-stitch, weaving etc.)

_____________________________________________________________________

COPYRIGHT AND PRIVACY STATEMENT


I acknowledge that all video and voice recordings of copyright
material during practices and performances, is not to be shared
publicly and privately with non-registered members of Manawa Mai
Tawhiti.

I acknowledge that all membership information is private and


confidential and will be used for administration purposes only, in
accordance with the Manawa Mai Tawhiti Constitution and The WA
Incorporated Associations Act 1987.
Name
Signature
Date
Name (Partner)
Signature
Date

MEDIA CONSENT FORM (Photography


and Video)
By signing this form you consent to Manawa Mai Tawhiti
(MMT) to using and publishing your name and the
photographs and/or videos listed below (which may
contain your image) in any of its publications and
materials (including written, electronic or multimedia
materials) for distribution anywhere in the world for
promotional or reporting purposes.
When giving your permission you should be aware that
any information published on the internet is accessible to
millions of users from all over the world, that it will be
indexed by search engines and that it may be copied and
used by any web user.
This means that once the
photograph is published on the Internet we will have no
control over its subsequent use and disclosure.
You also acknowledge that you are not entitled to any
remuneration, royalties or any other payment from MMT

in respect of the use by MMT of the photographs and/or


videos.
Surname
First Name
Date of Birth
Address
Telephone/M
obile
Email
Signature
Please note:
MMT collects your address, telephone and email details in order to
obtain your consent to the publication of a photograph containing
your image. These contact details will not be published or disclosed
without your consent, unless authorised or required by law.

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