Registration - Otamataha Trust

Register

Full Registration entitles you to participate on important kaupapa and to receive Newsletters and Panui.

Please complete all boxes below.

Our Privacy Promise to You: Otamataha Trust promise not to disclose your registration information to any organisation without your consent.

Step 1 of 3 - Personal Information

PART 1: PERSONAL INFORMATION

Name(Required)

First Middle Surname

Date of Birth(Required)

Email(Required)

Address(Required)

Postal Address Line 1 City Region Post Code Country

Physical Address (if different from postal address)

Postal Address Line 1 City Region Post Code Country

Phone (Home)

Phone (Work)

Mobile Number

1. Child or Dependent's Name

First Last

Date of Birth

ID Verification for Children/Dependents

Max. file size: 100 MB.

Note: ID Verification is only required for Children & Dependents. Valid forms include a birth certificate or passport. The form must show the same name as the registered name. Press the button and choose the relevant file from your computer files.

2. Child or Dependent's Name

First Last

Date of Birth

ID Verification for Children/Dependents

Max. file size: 100 MB.

Note: ID Verification is only required for Children & Dependents. Valid forms include a birth certificate or passport. The form must show the same name as the registered name. Press the button and choose the relevant file from your computer files.

3. Child or Dependent's Name

First Last

Date of Birth

ID Verification for Children/Dependents

Max. file size: 100 MB.

Note: ID Verification is only required for Children & Dependents. Valid forms include a birth certificate or passport. The form must show the same name as the registered name. Press the button and choose the relevant file from your computer files.

4. Child or Dependent's Name

First Last

Date of Birth

ID Verification for Children/Dependents

Max. file size: 100 MB.

Note: ID Verification is only required for Children & Dependents. Valid forms include a birth certificate or passport. The form must show the same name as the registered name. Press the button and choose the relevant file from your computer files.

5. Child or Dependent's Name

First Last

Date of Birth

ID Verification for Children/Dependents

Max. file size: 100 MB.

Note: ID Verification is only required for Children & Dependents. Valid forms include a birth certificate or passport. The form must show the same name as the registered name. Press the button and choose the relevant file from your computer files.

Please add additional Children or Dependents Names and Dates of Birth here:

Name

Date of Birth