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Registration V.2


Thank you for your interest in being a part of The Backbone Collective.  

In this brief survey we ask you to share your contact details - including your name (optional) and your email address (optional).

We ask for this information to keep a record of membership and to be able to contact you in the future about ways you might like to contribute to the work of Backbone, if you indicate that is something you would like to do.

At the end of this survey we also provide a link to our newsletter database with mailchimp. You can enter your contact details here if you would like to receive regular copies of our newsletters describing our activities, reports, surveys and events. You can unsubscribe from this list at any time. 

The information you provide will be completely confidential and will only be accessed by staff at The Backbone Collective.  

Your information will not be shared with third parties under any circumstances. Please go to our website to read more about how we are keeping your information safe.

If you would like to remove your contact details from our records at any time in the future, please email us at info@backbone.org.nz.

You have a right to access the personal information that Backbone holds about you and you can request to alter that information if you think that it is incorrect.  To make an information request please email  info@backbone.org.nz.

 
1. Are you a woman who has ever experienced violence and abuse, i.e. physical violence, sexual assault or abuse, psychological or emotional abuse, financial abuse? *This question is required.
Which of the following describes you? *This question is required.Please select all that apply
  • * This question is required.
We are building the Backbone for women because we think that our collective voice can help bring about much needed system change.  However, it is up to you how much involvement you would like to have. 

Being a member means that we will send you email updates about what we are doing if you subscribe to our mailing list. If you would like to and are able to do more, please tick the boxes that apply.

I would like to: *This question is required.
  • * This question is required.
Thank you for offering to provide your ideas and suggestions.  What would you like to give input on? *This question is required.
  • * This question is required.
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