PPW Referral form

Consent for the release of information:
I give my consent for a representative of Purapura Whetu Trust to consult with or request information of a personal nature from any person or agency for the purposes of participation in the activities at Purapura Whetu Trust
Consent for photographs to be used
I give my consent for a representative of Purapura Whetu Trust to use photos and other media for programme promotion and archives.
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Purapura Whetu Referral Form