| Sowing Seeds of Hope |
He iti hau marangai, e tū te pāhokahoka
Who We Are
News & Updates
Meet the team: Ameet
Meet the team: Belinda
Name of Client*
Date of Birth*
Is the family aware of this referral?
Details of family members.
How did you hear about Sowers Trust?
People who currently provide support
Please highlight services that may be helpful to you
Sow and Grow
Waves (bereaved by Suicide)
Please specify and give a brief summary*
Brief History and any Expectations of the Sowers Trust.
I agree to work with a Community Worker of The Sowers Trust and that this includes children under the age of 18 if working with the whole family. I understand that the information given will remain strictly confidential, unless I give permission verbally or in writing for any of my details to be released. I understand that the Community Worker will break confidentiality if there are any concerns for safety of self or others.
For use at Sowers Trust or if you are printing this form.
Photos and/or videos*
During sessions/groups we run there may be photos or videos taken for promotional reasons. Do you agree to photos/videos being published on our website/facebook page?
Yes – No facial recognition