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123 Street Avenue, City Town, 99999

(123) 555-6789

email@address.com

 

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Register Now

We’re excited that you’ve decided to pledge to support our young people to get their licences and make the roads of Māngere a safer place! Register below.

Register Now

 

We’re excited that you’ve decided to pledge to support our young people to get their licences and make the roads of Māngere a safer place!

 

 
 
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Before you register your Pledge team, make sure you have:

1. Team Information

Have details for all your team members including their name,
age and current licence status




2. Person who will receive information

Agree on who will be responsible for receiving all your Behind the Wheel information for the team and make sure you have their contact details like email, phone number and a postal address so we can send you your Behind the Wheel Pledge information pack

 

3. Māngere Local

Remember, one of your Pledge team must either live,
work, study or worship in Māngere

 
REGISTER THE TEAM
Your team must have a unlicensed/learner driver and a full licensed driver (An extra support person is optional)
Does your team live, work and/or study in Māngere? *
Remember, one of your Pledge team must either live, work. study or worship in Māngere
Does your team have access to a Roadworthy Vehicle? *
You must have a Roadworthy Vehicle to register your team:
REGISTER THE ROOKIE
This is the unlicensed driver
Rookie's Name *
Rookie's Name
REGISTER THE COACH
This is the Full Licence Driver
Coach's Name *
Coach's Name
REGISTER THE WINGMAN
This is the support person (optional)
Wingman's Name
Wingman's Name

Please note: All registration information provided is strictly for use within the Behind the Wheel Māngere project and will not be shared with any third-party providers. For more information see our Terms of Use