Enrolment Form - GirlGuiding New Zealand

> Enrolment Form

Please fill in this form to complete your enrolment

My Details
My name is...*
First Last
My date of birth is...*
I'm interested in joining...*
Please tick this box if you have been a member previously
- I have been a member previously
Name of event you want to attend
My parent/caregivers name is...*
First Last
Their relationship to me is...*
Address & Contact Details
Address*
House / Unit No & Street Name Suburb Town / City Postcode
Preferred contact number*
My parents email address is...*
Enter Email Confirm Email
Ethnicity
Ethnicity (Secondary)
What was your first point of contact?*
Where did you first hear about GirlGuiding NZ?*
Privacy Statement*
- I have read & agree with the Privacy Statement
Name
This field is for validation purposes and should be left unchanged.