Enrolment Form - GirlGuiding New Zealand

> Enrolment Form

Please fill in this form to complete your enrolment

Contact Details
Child's name*
First Last
Child's date of birth*
Interested in joining*
e.g., Takapuna Brownies (or just write "not sure")
Please tick this box if you have been a member previously
- I have been a member previously
Parent/caregiver's name*
First Last
Relationship to child*
Address & Contact Details
Address*
House / Unit No & Street Name Suburb Town / City Postcode
Preferred contact number*
Parent/caregiver's email address*
Enter Email Confirm Email
Ethnicity*
Ethnicity (Secondary)
What was your first point of contact?*
Where did you first hear about GirlGuiding NZ?*
Any questions
Privacy Statement*
- I have read & agree with the Privacy Statement
Comments
This field is for validation purposes and should be left unchanged.