Registration:  Taranaki's Youth Week Events
Ko tēnei te wiki o te Rangatahi!

Proudly bought to you by RainbowYOUTH, WITT and InsideOUT.


This is the registration form for our takatāpui and rainbow rangatahi between 13-27 to register their interest in the Taranaki Youth Week event! We're hosting two events at Zeal, the old Mayfair building on Devon Street West. Bring yourself, your queer peers, and your comforts. We're providing supplies, kai and wai.

We're going to be making zines, earrings and badges, and having an awesome movie moment!

Make sure you list your interest!
Sign in to Google to save your progress. Learn more
Email *
Are you Takatāpui or Rainbow (LGBTQIA+)? *
He aha tō ingoa? What is your Name *
Pronouns?
I am between 13 and 27 years old
Clear selection
1.30-4.30PM  -  Saturday 7 May: Zine, Badge, Earring making workshop @ Zeal
1.30-4.30PM - Saturday 14 May: Movie Moment @ Zeal
Contact number *
Emergency contact (we won't contact this person unless something serious happens, and then we would only say you were at a youth group) - we will NOT out you to this person. *
Dietary requirements?
Access needs? (example - wheelchair access / a quiet place in the event of over-stimulation / a safe-person in the event of an anxiety/panic attack / stimming objects/fidgits)
Movie/Series recommendations for our Movie Moment
I understand this is a drug, alcohol and smoke free space and event *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of InsideOUT. Report Abuse
Google Forms