2-day EOTC PLD - Effective Safety Management Systems 2019
REGISTRATION FORM  

Dunedin

Dates:   Day One – Mon 13 May, followed by Day Two - Fri 28 June
Venue:  Otago Golf Club 125 Balmacewen Road, Māori Hill, Dunedin
Time:    8.45am - 4.00pm, both days



If you are registering staff other than yourself please complete a separate form for each person.

Information entered here will be replicated on a completion certificate. Check for correct spelling and capitalisation of name and of the school.

Your registration will be acknowledged within a week of registration. If you have not heard back after that time, please contact the us. Use the Contact Us button on the EONZ website - www.eonz.org.nz 

Please note that lunch is not provided.


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Name of School *
Full name of school, to be used on a course completion certificate.
First Name *
Surname *
Email contact address *
Double check that you have entered this correctly. If a school office address is used, please ensure that all related communications are forwarded directly to the participant.
Primary role in the school *
Choose one role from the list below.
Contact details *
School phone number
*
Alternative contact number (Mobile/other). This is a contingency and will only be used in an emergency in the 15 hours leading up to the start of a workshop.
Special dietary requirements for morning tea/coffee
Please note any special dietary requirements.
Background *
Have you attended EONZ-led 2-day EOTC  PLD that unpacks the Ministry of Education EOTC Guidelines in the last 3 years?
*
Have other people from your school attended similar PLD that you are aware?
Are you the EOTC Coordinator or that person with delegated EOTC overview? *
*
If you answered Yes above, are you registered on the National EOTC Coordinator Database yet?
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