Talent ID Camp Registration

Please fill in the form to register your details.

"*" indicates required fields

Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email*

Phone*

Date of Birth*

Nature of your impairment/health condition*

Do you require assistance?

Yes

If yes, please provide details

Have you ever competed in any other sport before?

Yes

If yes, at what level

Are you a member of your local Parafed?

Yes

Emergency Contact Name

First Last

Emergency Contact Email

Emergency Contact Phone

By supporting and/or participating in the camp, I consent to my participation in interviews, surveys and the taking of photographs and videos. All information, photo or video may be edited, formatted, shared or used in a range of supported promotional materials, such as print and electronic media, including websites for providers within the New Zealand Para sport network.*

I agree

I disagree

By completing the form, I am happy for my information to be shared with appropriate providers within the New Zealand Para sport network in order to receive the most relevant information about Para sport opportunities relevant to my personal interest.*

I agree

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Talent ID Camp Registration

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