Date of Birth *

Gender *

Ethnicity *

Iwi (if applicable)

Country of Origin *

Email: *

Are you an NZ Citizen? *

Yes

No

If not an NZ Citizen, are you a Migrant/Refugee?

Where do you work/contract? *

Do you agree to participate in the training? *

Yes

No

The provisions of the Privacy Act 1993 apply to all details held on this agreement and information held by The GET Group & GET Training. By signing this training agreement you are consenting to the sharing of your information with other parties for the purpose of reporting and organizational compliance.

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