Pink Shirt Day Registration

First Name

Last Name

Email Address

Mobile

Organisation

Region *

Are you celebrating Pink Shirt Day as part of a community group, workplace or organisation?

Yes

If you are a school or other education provider, which of these best describes you?

Is your organisation/group any of the following? (if applicable)

Māori organisation
Pasifika organisation
LGBTQIA+ organisation

We really appreciate you filling in this form in as much detail as you can. This helps us send you the most appropriate emails and also helps us with statistical reporting. We do not share any personal information with other parties, view Privacy Policy.

Sign up to our monthly newsletter to keep up to date with our happenings!