Pōkeno Guide Club September 27th, 2024 Pōkeno Community Hall 19 Market Street, Pokeno, 2402 Meets on Tuesday: 4:00 pm – 5:30 pm Fees: $90 per term X/TwitterThis field is for validation purposes and should be left unchanged.Contact DetailsChild's name* First Last Child's date of birth*YearYear202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920MonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031Interested 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 DetailsAddress* House / Unit No & Street Name Suburb Town / City Postcode Preferred contact number*Parent/caregiver's email address* Enter Email Confirm Email Ethnicity*Please select an EthnicityMāoriTokelauanFijianNiueanTonganCook Islands MāoriSamoanOther Pacific PeoplesSoutheast AsianIndianChineseOther AsianMiddle EasternLatin AmericaAfricanOther EthnicityOther EuropeanNZ European/PākehāEthnicity (Secondary)Please select an EthnicityMāoriTokelauanFijianNiueanTonganCook Islands MāoriSamoanOther Pacific PeoplesSoutheast AsianIndianChineseOther AsianMiddle EasternLatin AmericaAfricanOther EthnicityOther EuropeanNZ European/PākehāWhat was your first point of contact?*Please select an optionWebsiteDirect emailPhoneWalk inWhere did you first hear about GirlGuiding NZ?*Please select an optionGGNZ Advertising – online (other than digital/social media))Advertising – press, magazine, televisionFacebookGirlGuiding EventGirlGuiding NZ WebsiteExternal WebsiteInstagramRadioWord of mouthRecommendation from memberGirlGuiding NZ BrochureSkoolLoop appOtherAny questionsPrivacy Statement* I have read & agree with the Privacy Statement Pōkeno Guide Club19 Market Street,Pokeno, 2402 New ZealandDirections
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