Registration forms

How to register with us

Register to receive services and support

To register with the Blind Foundation, either contact us for a registration package and application form, or download a registration form below. Use this form if you’d like to receive services and support, or if you are filling this out on behalf of a friend or family member.

Once you have registered to receive services, you might wish to go on to become a member.

If you choose to download the application form you’ll need to print it out, fill it in, then pop it in the post to us. Fill in what you can and we can help you with the rest.

Client Application Form (.pdf)

Refer someone to us

If you are a professional such as an ophthalmologist, optometrist or other qualified referrer you can refer an adult or child to us by completing the form below.

Ophthalmic Referral Form (.doc)

If you need help with either of these please phone 0800 24 33 33, email generalenquiries@blindfoundation.org.nz or visit your local Blind Foundation office.