Whakatipu Youth Trust

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membership form

membership form

For health and safety reasons we are asking all youth who come to Whakatipu Youth Trust’s drop-in and programmes to become a member first. We are also asking that all previous members to please sign up again so that we can update their details on our database.

We require this form to be filled in by both the youth wishing to become a member and their parent or legal guardian. The purpose of this form is for us to maintain a central database of contact, medical and consent information for day-to-day activities in and around the centre and to ensure both parents/guardians and the youth are aware of the rules and standards of behaviour within our community.

Please fill out the details below to become a member.
If you have any problems get in touch with us or download and complete the form.

Membership Form

  • Youth's Details

  • Parent / Step Parent / Relative / Legal Guardian

    Person must be aware they are the primary emergency contact. Must be over 18 years of age.
  • Medical Information

    It is important that you provide us with as much information as possible regarding any medical conditions, special needs or dietary needs. In the event an emergency contact cannot be reached, WYT reserves the right to seek medical attention for your youth at your cost
  • Photo Consent

  • How did you hear about us?

  • Terms and Conditions

Whakatipu Youth Trust

4a/15 Red Oaks Drive
Frankton, Queenstown

9:30am - 6pm (Mon to Fri)

3:30pm - 6pm (Mon to Fri)

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