Kia Mau Youth Camp One 15-17 April 2024 Feb 21 - Mar 11 2024 Home / Kia Mau Youth Camp One 15-17 April 2024 Upcoming Events For registered Rangatahi aged 10-12 years. Sorry applications are now closed. Please feel free to join our waitlist simply fill in the form below Join our waitlist here Is your camper registered with Tauhara North No2 Trust? Yes No Camper DetailsCamper Name(Required) First Middle Last Camper date of birth(Required) DD slash MM slash YYYY Camper Age(Required) Camper Gender Shirt Size(Required)Please note sizes are adult sizingXSSMLXLXXLAddress Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands 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 EmergencyParent/Guardian Contact Email(Required)Please enter your email address so we can send you further information Second Emergency Contact - Name and NumberPlease fill in the name and number of the person we should contact in an emergency Medical InformationDoes your Rangatahi have any medical needs No Yes Medical NeedsPlease outline any medical needs and medication for your child MedicationCan your child administer their medication themselves? Please answer if you have noted down any Medical Needs above. Yes No ImmunisationsAre your childs immunisations up to date? Yes No Consent for Pain Relief(Required)May our First Aiders give your child Paracetamol or Ibuprofen for Pain Relief? Yes No Dietary NeedsDoes your child have any special dietary needs? Vegetarian Vegan Dairy Free Gluten Free Other dietary needsPlease describe any special dietary needs not mentioned Social / BehaviouralFirst Time Camper(Required)Is this your child's first camp with Tauhara North No2 Trust? Yes No Social / Behavioural needsWould you like us to call you prior to camp to discuss any of your child's social or behavioural needs? Yes No Safety InformationIn your child confident in putting their head under water and/or swimming at least 50m? Yes No Are you the parent or guardian of this Rangatahi?YesNoYour nameIf not the parent/guardian please fill this in First Last Relationship to RangatahiWhat is your relationship to this Rangatahi? Acknowledgement of Risk, Behavioural consquences and use of images(Required)1. I understand that while at camp my child may participate in outdoor activities and that these carry an element of managed risk. I understand that TN2T has identified risks and hazards and ensured that procedures are in place to manage those risks. To help manage risk, I understand that my child will be briefed on safety procedures for activities. I will do my best to ensure that my child understands the need to follow safety procedures and instructions. 2. I understand that I am enrolling my child for the entire duration of the camp, if they cannot attend any part or all of the camp, I will withdraw them prior to the camp start date and notify TN2T immediately. This includes for any injury, illness or symptoms of illness present prior to camp start date. 3. If medical assistance is required, I authorise such action to be taken as thought necessary by staff. 4. I am satisfied that my child will comply with the TN2T Youth Camp Rules 5. I understand that my child may be sent home if they misbehave 6. I understand photos of my child may be used for presentational and promotional purposes related to Trust business only. 7. I understand that TN2T does not accept responsibility for loss or damage to personal property. 8. I agree to my son/daughter taking part in Youth Camp 2023 and have fully completed this enrolment form. I agree to their participation in the activities. I acknowledge the need for them to behave responsibly. I agree
