Registration Form ‹ New Zealand Ukulele Trust

Username

School Registration Info

MOE

School Name: Ingoa Kura *

Telephone: Waea *

Postal Address: Wāhitau Poutāpeta *

Postal Address Suburb

Postal Address City *

Postal Code *

Principal: Tumuaki

Equity Index (EQI)

Isolation Index

Territorial Authority

Total Students

European / Pākehā

Māori

Pacific

Asian

Other

Lead Teacher

Lead Teacher Info: Ngā Mōhiohio mō te Kaiako Matua

Lead Teacher's Name: Ingoa o te Kaiako Matua *

Lead Teacher's Phone Number: Tau Waea o te Kaiako Matua

Jam Leader Event Information for jammers

This field can be used by Jam Leaders to give jammers additional info. Please leave this blank and only use if you are a jam leader assigned to an event

Would you consider being a Kiwileles Uke-Hub Leader to host a Kiwilele Jam with local schools later in the year at your school? (with support from the NZ Ukulele Trust)*

Yes
No
I need to know more before committing

Would you be interested in collaborating and working with other schools in your local area towards a Kiwilele Jam later in the year?

Yes
No
I need to know more before committing

Are you happy for your name and contact details to be provided to other lead teachers at schools in your area?

Alternative name of the person the invoice is to be made out to

Alternative email of the person the invoice is to be sent to

Subscription Name *

This is generated when you choose your school from the dropdown menu

Subscription Price *

This is generated when you choose your school from the dropdown menu

Inactive

Registration confirmation will be emailed to you.

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School Registration Info

Lead Teacher Info: Ngā Mōhiohio mō te Kaiako Matua