Requestor Details
Are you:
Please select...
Clinical/Medical Professional
Disabled Young Person
General Adult
National Sport Organisation
Parafed
Parent/Guardian
Regional Sport Organisation
Sport Sector
Teacher/Teacher Aide
First Name
Last Name
Email
Mobile Phone
Role:
How did you hear about the Halberg Foundation?
Please select...
Halberg Adviser
Previous Volunteer
Physio/OT/GP
School Staff
Parafed or Sports Organisation
Friend/Colleague
Facebook/Instagram
Website
Other Disability Organisation
Other
Would you like to receive further communication from the Halberg Foundation after this Inclusion Training?
Yes
No
Training Details
Organisation Name
Organisation Region
Please select...
Northland
Auckland - North Harbour
Auckland - Central West (Whau, Waitemata, Albert-Eden)
Auckland - Central East (Orakei, Maungaeikei, Howick)
Auckland - Waitakere
Auckland - Counties Manukau
Waikato
Bay of Plenty
Gisborne
Taranaki
Manawatu
Whanganui
Hawkes Bay
Wellington
Tasman
Marlborough
West Coast
Canterbury
Otago
Southland
Organisation Type
Please select...
Primary / Intermediate
Secondary
Special School
Tertiary
Regional Sport Organisation
Regional Sport Trust
Club
Clinical
National Organisation
National Sport Organisation
Type of Training
Please select...
Online
Practical
In-Person
Preferred Delivery Date
OwnerId
Contact Information