"*" indicates required fields We are collecting your personal information in accordance with the Information Privacy Act 2009 for the purpose of processing this application/request. The information will be only accessed by authorised employees. Your information will not be given to any other person or agency unless you have given us permission, or we are required by law.Name* First Last Email Phone*Town/locality*Are you over 16 years of age?* Yes No Are you a member of a community disaster group?* Yes No Which comunity disaster group?*Are you willing to provide First Aid and/or CPR during a crisis or disaster.* Yes No What session would you like to attend?* Kairi Community Centre — 9am–3pm Thursday 19 June Millaa Millaa CWA Hall — 9am–4pm Thursday 26 June Mount Garnet Town Hall — 9am–4pm Friday 20 June Where did you hear about these sessions?*Tick all that apply. TRC Social media Word of mouth TRC e-newsletter Email Newspaper Other Please specify*By submitting this form you are agreeing to the conditions of our photo, filming and recording consent. If you do not wish to be filmed, photographed or recorded, please notify the organiser on arrival.Untitled