April 2021 Pasifika Breakaway Holiday Programme Registration (Pacific Trust Otago)
Dates: 27 - 29 April 2021 (Second week of the school holiday)
Time: 10am – 3pm
Venue: Edgar Sports Centre, 116 Portsmouth Drive, South Dunedin
Ages: 11yrs – 18yrs strictly
Programme: Variety of sports, mentoring and guest speakers to inspire the young people. Details will be provided once registration is closed.
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Email *
Name *
Phone *
Address *
Ethnicity (Tick all that apply) *
Required
Age *
Gender *
Which school do you attend? *
What is the main reason in joining the breakaway holiday program. Tick all that apply. *
Required
Have you attended the Pacific Trust Otago (PTO) Breakaway before? *
How did you hear about this programme? *
Required
What PTO services either you or your family have used or know about? Tick all that apply. *
Required
For communication purposes. What is the best way you think is most effective in providing information to you? *
Most effective
Effective
Somewhat effective
Less effective
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Face to face
Phone call
Texting (phone/messenger)
Email
Facebook
Via parents
Via friends
Via church/community leaders
Others
By registering for this programme you are endorsing parental consent provided for you to attend this event. You are responsible for following all rules set by the PTO team for health and safety purposes. The consent is given also to photos being taken for reporting and promotional purposes of the PTO.   *
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