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Tauiwi Hui - Youths of Today
Registration Form
15, 16,17 of April 2020
Fee – $150/person
Final day for all rego to come in will be
22nd of March.
Tauiwi Hui – Youths of Today Registration Form
If you are human, leave this field blank.
First Name(s)
*
Surname
*
Email
*
City
Cell Phone Number
*
Which Refuge do you belong to?
Emergency Contact Name (1)
*
Emergency Contact Phone Number (1)
Emergency Contact Name (2)
*
Emergency Contact Phone Number (2)
Which days will you attend?
Wedesday
Thursday
Friday
Will you attend the Thursday night dinner?
Yes
No
Any Dietary restrictions/allergies:
Do you have any other special requirements/or are on medication that we need to be aware of?
understand that I will have to pay the registration fees for my registration to be confirmed? An email will be sent to you on confirmation *(Light snack for morning and afternoon tea and Lunch is included under the fee charged). Please note you will also be sent a list of activities to choose from as part of team building exercise at a later date)
*
Yes
Submit