He Toa Takitini

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He Toa Takitini Online Registration

Your Whakapapa

Please provide us with as much information to assist us in processing your registration.
Please note any familiar names your whānau may be known by.
NOTE: Please use full names when identifying your whānau

Your Mother:

First Name:

Surname:

Hapū:
 

Your Grandmother:

First Name:

Surname:
 

Your Great Grandmother:

First Name:

Surname:

Your Great Grandfather:

First Name:

Surname:

Marae:

Iwi:
 

Your Grandfather:

First Name:

Surname:
 

Your Great Grandmother:

First Name:

Surname:

Your Great Grandfather:

First Name:

Surname:

Your Father:

First Name:

Surname:

Hapū:
 

Your Grandmother:

First Name:

Surname:

 
 

Your Great Grandmother:

First Name:

Surname:

Your Great Grandfather:

First Name:

Surname:

Marae:

Iwi:
 

Your Grandfather:

First Name:

Surname:

 
 

Your Great Grandmother:

First Name:

Surname:

Your Great Grandfather:

First Name:

Surname:

Declaration:
I declare the information provided in this registration form is true and correct to my knowledge.
I would like to receive occasional Newsletters and information from He Toa Takitini
Name: * Date: * / /

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