I.Drive 2026 Registration Form

Name *

First

Last

what Emergency Birth:

Date of Birth: *

Ethnicity: *

Address: *

Phone Number: *

E-mail: *

Emergency Contact Name: *

First

Last

Do you identify with a disability?: *

Is there anything else you would like us to know about your accessibility needs?:

Registration Times: *

Tell us what you're most excited for the I.Drive 2026!:

Restricted: Please contact Abdulla for course dates

Can’t make it to these areas? Please let us know and we will aim to bring the course to a venue near you!

Any inquiries or to learn more about I.Drive, please contact Abdulla: abdulla@yesdisability.org.nz

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