Our Forms

Aroha mai - Sorry our site is currently Under Construction.

For any questions or bookings please call our office on 03 684 7906, or send us an email.

Membership Application

Whanau Mahi Application

Connector Referal Form

Please use these direct links to our online forms. You will find our new Te Aitarakihi membership application form, whanau mahi work ready programme application form and Community Connector Referral forms then below the link to our proposed new building plans.

New Building Program

New Whare Consultation

Leave Koha for new building program

First Name

Last Name

Address Line 1

Address Line 2

Town / City

Postcode

Country

Email

Amount ($)

To help fund the proposed new building development at Te Aitarakihi, we ask that you consider making a Koha. Any amount is very welcome. The funds will go directly into our PayPal account and will be used to offset the upcoming costs. Please give us your name and address details so that your Koha can be acknowledged accordingly. Nga Mihi.