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Pariwaar New Zealand
Upcoming Program Registration - Please complete this form for each member.
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* Indicates required question
Email
*
Your email
Full Name (of Parent)
*
Your answer
Full Name (of Child)
*
Your answer
Address:
Your answer
Phone:
Your answer
Your date of birth
*
MM
/
DD
/
YYYY
Gender
Female
Male
Prefer not to say
Other:
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What programs are you interested in
*
WETA Workshop - Youth Program
Cyberbullying Consultation
School Holiday Programme
Ladies Bhangra Fitness, Coming Soon
Punjabi Language classes
Children's Bhangra
Virtual Storytime
New Mothers Connect Group
Youth Connect - Male
Talanoa Sessions
Pasifika Culture Workshops
Music Lessons - Dhol
Youth Connect - Female
Seniors Connect Group
Hindi Language classes
School Holiday Program
Required
How did you hear about us?
Facebook
Friends
Local
Other:
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Do you allow your child to attend the selected program?
Yes
No
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