This is where you register your interest Please enable JavaScript in your browser to complete this form.Your Name *FirstLastYour Age *eMail *EmailConfirm EmailPhone NumberSchool Year *Year 8Year 9Year 10Year 11Year 12Year 13Not in School at the moment but under 23 years of ageTeacher or Youth WorkerRegion where you live *Far NorthWhangarei / KaiparaRodney / North ShoreGreat BarrierWaitakereAuckland CityManukauPapakura / FranklinHaurakiWaikato WestKirikiriroa / HamiltonWaikato SouthTauranga MoanaRotoruaTongariro (Taupo/Turangi)Mataatua (Opotiki, Whakatane, Kawerau)Tairawhiti (Gisborne or Wairoa)North Taranaki (New Plymouth)South Taranaki (Stratford + South Taranaki)Kahungunu ki Heretaunga (Napier + Hastings)Tamatea/Tamaki-Nui-a-Rua (Central Hawkes Bay + Tararua)Whanganui/Waimarino/RangitikeiManawatu/Horowhenua (Palmerston North)WairarapaWhitireia (Kapiti and Porirua)Hutt Valley (Upper and Lower)WellingtonNelson BaysMarlborough + KaikouraWest CoastCanterbury RuralChristchurch / Banks PeninsulaAoraki (Ashburton, Mackenzie, Timaru, Waimate)Chatham IslandsCentral Otago (Queenstown + Central)Coastal Otago (Waitaki + Clutha + Dunedin)Southland (Southland, Gore, Invercargill)I don't live in New ZealandIf you would like to share any web address to where we can see your imagery please feel free to drop links here.One of our goals is supporting the development of diverse voices in the film industry - Please tick if any of the below describe youMaoriPacific IslanderBlack - African or Caribbean descentIndigenous to lands other than NZYou identify as a Person of ColourImmigrantLGBQT+Identify as FemaleNeurodiverseDisabledOtherOtherName of School you Attend or if you are a homeschooler *Please upload a signed permission slip from your parent or guardian if under the age of 16 Click or drag a file to this area to upload. Submit Wild Card Participants for Visual Poetry JamUpdated on 2021-09-15T15:54:05+12:00, by Mandi.
