What is your first name?
What is your surname (family name)?
What is your parent/guardian's name?
What is your parent/guardian's email address?
What is your parent/guardian's phone number?
How old are you?
What library do you go to most?
What school did you attend in 2018?
Can you tell us what ethnic groups you belong to?
Select the main ethnic group, or groups, that apply to you.
Parents / guardians - can we contact you after the end of Kia Māia te Whai / Dare to Explore?