Youth Quest Programme Registration form
Welcome to the Quest programme! We are thrilled that you are here! 

This programme is a fun quest in which you will creatively build your vision for a successful future, Identify your unique strengths and how they come into play in your life. 

After you fill this form it will be emailed back to you so you have a copy of your registration.

The programme is starting on Tuesday 16 April from 9-3pm.
It will take place at the University of Waikato, Lady Goodfellow Chapel, Gate 1, Knighton st. (https://www.waikato.ac.nz/students/chaplaincy/lady-goodfellow-chapel)
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Email *
First name  *
Last name *
Email address *
Contact number *
Gender *
Age  *
Country of origin *
If you speak any other languages other than English  - which ones are spoken at home? *
Your ethnicity *
Required
If other, please specify
Person 1 Emergency contact - Name and Mobile phone  *
Relationship with participant *
Required
Person 2 Emergency contact - Name and Mobile phone  *
Relationship with participant *
Required
We sometimes take photos during sessions to follow your progress. We sometimes share these with future participants to explain what we do in session. Please let us know if you prefer for your photo not to be shared.
We welcome you to our workshops! We strive to create an inclusive and accommodating environment for all participants. If you feel comfortable sharing, please let us know if you have any specific needs related to neurodiversity (e.g., ADHD, autism, dyslexia) that we should be aware of to ensure your full enjoyment and participation in the event. Please let us know if you need to take medication during our session and bring it with you. Your response is completely voluntary, and any information shared will be kept confidential. Our privacy policy is available.

See you at 9am Tuesday 16 April at the Lady Goodfellow Chapel on campus!

A copy of your responses will be emailed to the address you provided.
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