Welcome to the registration page for the UFBA AGM

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Welcome to the registration page for the UFBA AGM - 26 November 2020

Please complete the following online form to register

First Name *

Last Name *

Brigade *

Position *

Street Address *

(of brigade you are representing)

Town/City *

(of brigade you are representing)

Post code *

(of brigade you are representing)

Email *

Contact number *

Are you *

Career

Volunteer

Brigade type *

Urban

Rural

Defence

Industrial

Are you a past president/LHM? *

Yes

Is this your first AGM you have attended? *

Yes

What is your gender? *

Female

Male

Non-binary

Other:

What is your age? *

18-29

30-39

40-49

50-59

60+

Which ethnic group do you belong to? (select the group(s) that apply to you, or specify 'other') *

New Zealand European

Maori

Chinese

Tongan

Indian

Cook Island

Samoan

Niuean

Other:

Required

Privacy agreement *

I understand that the information collected by the United Fire Brigades' Association will be held for AGM purposes only and may be kept for historical record. I understand that my email address will be shared with the Technical Host Supplier to allow me access to the AGM online.

Required

Would you like to be added to the UFBA contact list?

Yes I would like to be added to the UFBA contact list

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms