Final-Registration-F

Te Taitimu Trust & Ngāti Pāhauwera Development Trust (W24) 20 – 25 January 2018, Mohaka River

$150 per person for 5 days (6-16 years old)

Aim “Making a Difference” from Ngāti Pāhauwera Development Trust and Te Taitimu Trust. Building tomorrow’s leaders.

How This particular wananga is about supporting Ngāti Pāhauwera mokopuna and their aspirations for a better future. This kaupapa will be about ‘Making a Difference’ and promoting wellness within whanau and providing opportunities in communities to build relationships, confidence, connectedness and resilience. Te Taitimu Trust is providing the opportunity to identify some positive changes within our communities in searching out the potential of our mokopuna and rangatahi.

NGĀTI PĀHAUWERA MEMBER NO.: RANGATAHI/ATTENDEE NAME:

ADDRESS:

D.O.B: AGE: GENDER: M / F

MEDICAL INFORMATION Allergies OR Illnesses: Doctors Name: Medical Centre: Contact Number:

Medication Medication Required: Purpose for medication: Dose and when required: Permission to administer:

Parent/Caregiver/Guardian - NAME 1: Home: Mobile: Emergency Contact Details: Work: Email:

Parent/Caregiver/Guardian - NAME 2: Home: Mobile: Emergency Contact Details: Work: Email:

PARENTAL CONSENT I agree to my child/myself taking part in the “Mohaka Big Camp 2018” being held at Waipapa-a-iwi Marae, and on the Mohaka River, near Raupunga and have received sufficient information on which to base a decision. I agree to their/my participation in the activities described. I acknowledge the need for them/me to behave responsibly.

ACKNOWLEDGEMENT OF RISK I have read the itinerary and I understand that there are risks associated with involvement in outdoor events and that these risks cannot be eliminated. I understand that Te Taitimu Trust and Ngāti Pāhauwera Development Trust will identify any foreseeable risks or hazards and implement correct management procedures to eliminate, isolate or minimise those hazards. I understand my child has been involved in the development of safety procedures. I will do my best to ensure that I/my child follow these procedures. I know that I can ask any questions of Te Taitimu Trust and Ngāti Pāhauwera Development Trust about the activities I/my child will be involved in, to gain a better understanding of the risks involved. I recognise that participation in such activities is voluntary and not mandatory through a ‘challenge by choice’* procedure. My child and I both understand that I/they may withdraw from an activity if I/they feel at risk. This must be done in consultation with the person in charge. I also agree to the use of photo's/video and any media coverage containing my child for publicity purposes without any remuneration.

Name: Signature: Date:

* ‘challenge by choice’ means the participant chooses their own level of challenge within a supportive peer environment.

GEAR LIST

Your Own Tent 1 pillow (with pillow case) 1 Sheet 1 Sleeping Bag 2 Towels Toiletries Warm Clothes Jacket Woolen Hat Warm Solid Shoes Medications Cutlery (knife, fork, spoon, cup, dinner plate, pudding plate, drink bottle) 2 tea towels Sunscreen Home baking (for afternoon snacks) Bed Mat *All clothing must be named *No cell phones or expensive items

Te Taitimu Trust and Ngāti Pāhauwera Development Trust have organised transport to venue and during camp (Pick up and Drop off – 8 Ayr Street, Flaxmere and BP Petrol, Bayview)

EMERGENCY CONTACTS AT WANANGA

Ngāti Pāhauwera Development Trust Kahuirangi Tauri Te Taitimu Admin Mobile: 021164691/0279084739 Mobile: 027 944 9053 Mobile: 027 495 0009 Email: [email protected] Email: [email protected] Email: [email protected]

Saturday 20 January 2018 (Arrive n Set Up) 8.00am Bus; Flaxmere (8 Ayr Street, Flaxmere) Sunday 21 January 2018 (Workshops – Wairoa) 8.30am Bus; Napier (Bayview BP Gas Station) 6.30am Wake Up 11.30am Arrive at Waipapa-a-iwi Marae, Mohaka 7.30am Breakfast 12.30pm Powhiri (190 people) 8.30am Leave for Wairoa (x2 buses & 4 vans) 1.00pm Lunch 9.00am Arrive at Wairoa - Workshops 2.00pm Registrations 9.30am Water Safety (pool) 3.00pm Set up Camp 10.30am River Rafting (pool) 5.30pm Tea 11.30am Kiorahi (outdoors) Whakawhanaungatanga 7.00pm 12.30pm Lunch (1 hour) (introduction of each other) 1.30pm Basketball (gymnasium) 7.30pm Mentors Hui 2.30pm Volleyball (gymnasium) 8.30pm Kapa Haka Under 12’s to Bed 6.00pm Tea 9.00pm Whakapapa Time 7.00pm Free Time and Mentors Hui 8.30pm Under 12’s to Bed (Ngāti Pāhauwera Iwi Stories) 10.30pm Lights out for Rangatahi 9.30pm Whakapapa Rangatahi 10.30pm Lights out for Rangatahi

Monday 22 January 2018 (River Day) Tuesday 23 January 2018 (Workshops – Beach 6.00am Wake Up &Bush) 6.30am Parade, Head Count and Panui 6.00am Wake Up 7.00am Breakfast 7.00am Breakfast 8.00am Leave for Willow Flat 8.30am Workshops – Bush: Pig Hunting 9.00am Arrive at Willow Flat 9.30am Rongoa 9.30am ON THE RIVER 10.30am Search n Rescue 12.30pm Lunch (1 hour) 11.30am Bush Survival 1.30pm ON THE RIVER 12.30pm Lunch (1 hour) 4.30pm Leave Patuwahine/travel back to Mohaka 1.30pm Workshops – Beach:Surf Casting 6.00pm Tea 2.30pm Reti Board 7.00pm Free Time and Mentors Hui 3.30pm Fly Fishing Skits 4.30pm Hangi Stones/Driftwood 7.30pm Under 12’s to Bed 6.00pm Tea 9.00pm Whakapapa Rangatahi 7.00pm Free Time and Mentors Hui 10.30pm Lights out for Rangatahi 8.30pm U12’s to Bed 9.30pm Whakapapa Rangatahi 10.30pm Lights out Rangatahi

Wednesday 24 January 2018 (River Day) Thursday 25 January 2018 (Pack up & Clean up) 6.00am Wake Up 6.00am Wake Up 6.30am Parade, Head Count and Panui 6.30am Parade, Head Count and Panui 7.00am Breakfast 7.00am Breakfast 8.00am Leave for Patuwahine 8.00am Clean Up 9.00am Arrive at Patuwahine 10.00am Poroporoaki/Prize Giving at Marae 9.30am ON THE RIVER Tamariki and Rangatahi travel to Flaxmere 12.30pm 12.30pm Lunch (1 hour) & BP Napier (Bus) 1.30pm ON THE RIVER 4.30pm Back at Camp Site 6.00pm Hakari 7.00pm Entertainment Mentors Debrief 9.00pm U12’s to Bed 10.30pm Light out Rangatahi

MEDICAL INFORMATION AND CONSENT FORM

Raft Fish NZ

NAME: ………………………………………………………………………………………………………...... ……. AGE: …………..………………

TELEPHONE: ( ) ………………………………………………………………. MOBILE: ( ) ………………………………………………………

CONFIDENCE IN WATER: …………………………………………………………………………………………………………………………………………………….

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MEDICAL CONDITIONS: …………………………………………………………………………………………………………………………………………………..

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Please let us know in the medical conditions box above if you suffer from any of the following: Asthma Diabetes Poor Balance Epilepsy Heart Condition Hemophilia Other

Please also make sure you inform us of any other concerns or conditions. We reserve the right to cancel or amend any river trip for safety reasons. To the extent permitted by law, all our liability for damage to your property, disruption to travel plans or medical injury excluded. These exclusions are subject to any rights and remedies you may have under the Consumer Guarantees Act 1993. Raft Fish NZ manages the hazards of rafting which includes a safety brief by your guide on the following:

Equipment – Paddling Swimming Falling Out Streiners Flips Raft Wraps Foot Equipment Holes Construction Debris

The following statement and declaration is included as a requirement under Maritime law in New Zealand

“River rafting is an adventure activity with a degree of risk which increases with the grade of rapids. Participants should be aware that we cannot guarantee your safety”

Declaration – by adding your signature you are indicating that you understand and accept the following statement and other information contained in this form; “I am aware that participation in river rafting with Raft Fish NZ could involve certain risks due to unpredictable forces of nature. Given that the guide will do their best to manage these factors, I accept personal responsibility for my own actions and safety”

PARENT/CAREGIVER (Signature): ……………………………..……………………………………………….. DATE: …………………………

CHILD/REN (Signature): ……………………………………………………………………………….. DATE: …………………………

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