Kia Māia Camp 2025 - Tauhara North No.2 Trust

Are you registered with Tauhara North No2 Trust?(Required)

Yes

Camper Details

Rangatahi Name(Required)

First Middle Last

Rangatahi date of birth(Required)

Rangatahi Age(Required)

Your child must be aged between 10-18 years to attend this camp

Please enter a number from 9 to 18.

Rangatahi Shirt Size(Required)

Please note sizes are adult sizing

Gender(Required)

Name of School(Required)

School Year Level(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Parent/Guardian Name(Required)

Please fill in the details of the Parent/Guardian who we may contact regarding this enrolment and in the event of an Emergency

First Last

Parent/Guardian Contact Number(Required)

Please fill in your number should we need to contact you in an Emergency

Parent/Guardian Contact Email(Required)

Please enter your email address so we can send you further information

Second Emergency Contact - Name and Number

Please fill in the name and number of the person we should contact in an emergency

Medical Information

Does your Rangatahi have any medical needs?(Required)

Yes

Medical Needs(Required)

Please outline any medical needs and medication for your Rangatahi

Medication(Required)

Does your Rangatahi administer their medication themselves? Please answer if you have noted down any Medical Needs above.

Yes

Immunisations(Required)

Are immunisations up to date?

Yes

Consent for Pain Relief(Required)

May our First Aiders give your Rangatahi Paracetamol or Ibuprofen for Pain Relief?

Yes

Dietary Needs(Required)

Does your Rangatahi have any special dietary needs?

Vegetarian

Vegan

Dairy Free

Gluten Free

Other dietary needs

Please describe any special dietary needs not mentioned

Social / Behavioural

First Time Camper(Required)

Is this their first camp with Tauhara North No2 Trust?

Yes

Social / Behavioural needs(Required)

Would you like us to call you prior to camp to discuss any Rangatahi social or behavioural needs?

Yes

Safety Information

Is your Rangatahi capable of swimming at least 50m?(Required)

Yes

Are you the parent or guardian of this Rangatahi?(Required)

Your name(Required)

If not the parent/guardian please fill this in

First Last

Relationship to Rangatahi(Required)

Please enter your relationship here