Register your interest - Whitebait Connection, Northland
Use this form to register your school or group's interest in a Whitebait Connection programme in 2024/25
Sign in to Google to save your progress. Learn more
Email *
Name *
Email *
Phone (mobile preferred) *
Organization *
Which freshwater education programmes interest you? *
Required
When would you like us to deliver your programme? *
Funding: how will you fund your Whitebait Connection programme? *
How many students and what Year levels would you like to register? *
Do you have particular goals or waterway sites you want to include in your programme?  If so, please note these below.
Best time to contact you (to arrange your programme) *
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Mountains to Sea. Report Abuse