Registration form

Talk to us today to see how we can help you and your whānau if you’re affected by serious illness or grief. Please note that we’re not a crisis line – if you or someone you love needs immediate help, please contact the Suicide Crisis Helpline on 0508 828 865

Please fill out the form below

Please let us know a bit about yourself or the person seeking assistance from Kenzie’s Gift.

Kenzie’s Gift collects this information for the purposes of research and reporting to external funders. We will not reveal your personal data to any external party without your express permission. Our reporting to funders is anonymised to protect your privacy as per our privacy policy.

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