Regional Event Registration

Personal Details

Organisation Details

Emergency Contact Details

Media Consent

In order to promote the work of the Halberg Foundation, we often profile those attending our events on social media, as well as in print/online public relations material including video footage. All material collected is used specifically to enhance the work of the Halberg Foundation. Images and content may also be supplied to external news media and Halberg sector partners to further achieve this goal. It is important for our ongoing success that we continue to develop this material. Media will also be invited to attend and film attendees participating in the event. 

 Please advise below if you are happy that we, and any other party we contact, use images or video footage that may include you, taken during this event. If you are under 18, please ask a parent/guardian to read this form and tick the below to confirm. On behalf of the Halberg Foundation, thank you for your co-operation. 

 By registering to attend this event, I confirm that I (or my parent/guardian if I am under 18 years of age) give permission to be photographed and/or filmed and I am aware of and consent to the following: 

  Photographs or films I feature in may appear in Halberg Foundation material, including the Halberg Foundation’s website, social media, print media and public relations material. 

Photographs and film material may be shared with sector partners such as, Sport New Zealand, Paralympics New Zealand and the Parafed Network. 

Photographic or video footage I feature in may be used to promote future events associated with the Halberg Foundation. 

Media may photograph or film me at this event. 

I have the right to access all images and video footage held by the Halberg Foundation in relation to me. 

  I also confirm that this consent is given voluntarily and I understand that it may be withdrawn by me (or my parent/guardian if I am under 18 years of age) at any time, upon written notice.