This is where you register your interest Please enable JavaScript in your browser to complete this form.Your Name *FirstLastYour Age (If you are a student)eMail *EmailConfirm EmailYour Mobile Phone NumberSo we can contact you if we have any issues with your registration.Name of Parent/Guardian (in the event of an emergency) *Phone number for Parent/Guardian (in the event of an emergency) *School Year *Year 7Year 8Year 9Year 10Year 11Year 12Year 13Not in School at the moment but under 23 years of ageTeacher or Youth WorkerName of Town/City or Area you live in *Region 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 Social Media or Web Sites where we can see your art, please feel free to drop links here (Optional)Name of your School you attend or if you are a homeschooler *How do you intend to take the course?During School hoursAfter School hoursPlease upload a permission slip (signed by 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.