(A) Interested Individuals & Organisations

Thank you for letting us know you are interested in being added to our Oxytocin Trust network.

We are wanting to connect those who are working in the perinatal space in the Te Awa Kairangi/ Hutt Valley community. We are creating a database of people and organisations offering support (voluntary and paid) to those who are birthing and those that care for them. In early 2025 we will be launching our Infoodle phone app which will allow easy access to our directory.

Your name *

First name

Last name

Your home address (optional)

Address line 1

Address line 2

Address line 3

Address line 4

Town/Suburb

City

Postcode/Zip

Your mobile phone number *

Organisation name

Your email address *

Services offered by you/your organisation Please tick all that apply

Please select all services that apply to you or your organisation.

If you provide a service that is not covered above, please share more details with us

Tells us a bit about your involvement in the local community?

What is your role in Te Awa Kairangi/the Hutt Valley birthing or parenting community? *

Please give us as much info as possible

Would you like to volunteer for the Oxytocin Trust too?

We will add you to our database, but please indicate if you are interested in being in involved in other ways?

How did you find out about our Trust?

We are creating a phone app linked to an online database for the Hutt community to keep connected, what info/connections would you love to see on there?

e.g. free baby clothes, breastfeeding help, kai support etc...

Do you give us permission to add your details to our database? *

Our database allows us to communicate with you more effectively and, if you give permission, allows us to display your details in our directory so that other people working in Te Awa Kairangi/the Hutt Valley perinatal space can find you.