PUKA TĀPAE | SUBMISSION FORM

This submission form allows you to give feedback on the Wairarapa Local Alcohol Policy. Please read the Wairarapa Local Alcohol Policy Review: Statement of Proposal document before completing the form.

Please provide your feedback by 4.00pm Sunday 20 October.
Privacy Statement

All submissions will be made available to the public via the Wairarapa District Council websites. Your name, organisation (if applicable) and feedback will be included in public documents. All other personal details will remain private. If you have extenuating circumstances, please contact us prior to the submission closure date to request that your name be withheld.

The Privacy Act 2020 applies when we collect personal details. Further information is available in the Masterton District Council Submission Policy on the Council website: www.mstn.govt.nz

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* 1. Your details

Hearing
A hearing will be held on Wednesday 23 October 2024 for those wanting to present their views. You will have 5-10 minutes to present your feedback to elected members.

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* 2. Would you like to present your views at the hearing?

If yes, please make sure your contact details in the previous section are correct so we can get in touch.

About You (Optional)
These questions help us understand which sectors of the community are providing feedback so we can
improve our engagement approach. Your responses will not be made public with your submission. Only
collated data will be reported to the Council.

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* 3. Which District do you live in?

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* 4. What is your age range?

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* 5. Which ethnic group do you belong to? Select all that apply to you.

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* 6. What is your gender?

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* 7. Do you live with impairments/long-term health conditions or do you identify as tāngata whaikaha/disabled?

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