Intent to Participate in the Youth Resiliency
Launch/Workshop

Name
		
Organisation
		
Contact information -Phone
 
                                      -Email
                     
          -Address

		

	
	
		Postcode	

	Yes	Not certain	No	
I will attend and participate in the May 4th Launch				
I will attend and participate in the May 7th Workshop				
 
Please return by email to resilient.youth@clear.net.nz 
or post it to Resilient Youth Launch, 49 Todds Bush road, Atawhai, RD1 Nelson, 7071

1056526	7/03/2011	www.nelsoncitycouncil.co.nz