Application form: Hawke's Bay region

Fill in this form to register for the Ahuriri Estuary Restoration Working Group.

Privacy disclosure: To process your request or information, we need to collect personal information about you. We'll only use your information for this purpose and we'll follow the principles of the Privacy Act 2020. See our privacy and security statement.

Contact details

We need these details so that we can contact you about your application.

Name

Phone

Personal details

We need these details so that we're aware of relevant medical conditions and who to contact if you're hurt.

Emergency contact

For international volunteers, add a New Zealand contact if available.

Contact name

Contact phone number

Medical conditions

Are there any medical conditions that would affect your ability to do the tasks required?

Fitness

What is your fitness level? Low - you can easily walk up to 2 hours over flat ground Medium - you can comfortably walk with a 5 kg pack up to 4 hours over uneven ground High - you're capable of walking with a 10 kg pack up to 6 hours over uneven ground Very high - your experienced at walking consecutive days with a 10+ kg pack over steep, rough terrain

Is there anything else you'd like to include in your application?

Contact details

Personal details

Emergency contact

Medical conditions

Fitness

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