Machol Pacifica 2019 Registration Form

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Please fill in the form below and pay the registration fee to register for camp.

Information

6:00 pm Friday 25 - late Sunday 27 October (that's Labour Weekend)
Wellington Girls' College, Pipitea St, Thorndon

We are conscious of trying to look after our environment, so in order to reduce our use of plastics, we ask you to bring your own drink bottle.

We are sure you all, like us, have numerous t-shirts in your drawers, so we have decided not to produce t-shirts this year.

Registration Details...

First Name *

Last Name *

Email Address *

Postal Address

Town / Dance Group *

Please choose your nearest dance group (to help us when it comes to handing out registration packs)

Home Phone

Cell Phone

Gender

Male

Female

Clear selection

Registration *

Full Registration includes morning/afternoon tea, lunches and suppers.

Full registration ($70.00, until 30th June or $85.00 from 1st July)

Saturday only – includes tea breaks and lunch ($45.00)

Sunday only – includes tea breaks and lunch ($45.00)

Payment Details

Account Details: 03 0521 0138881 00

Total Payment

Please state the total amount that is due

Date Paid

YYYY

Do you need an emailed receipt?

Media, Meals & Special Requests...

Media and Resources

We will provide FREE links to online resources

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Meals

Saturday Night Dinner will be a shared banquet at Indus. $29 per head; please pay online or by cash at the registration desk. Please indicate whether you will be joining us.

Yes

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Do you have any special dietary needs?

Our lunch caterers are able to accommodate both gluten free and vegetarian options. Note: if you select 'other', you may be asked to provide your own food depending on your needs.

None

Vegetarian

Gluten Free

Other:

Is there anything else we should know (Comments)

Special Note

Registrations close 30th September 2019. Any registrations after this date will miss out on catering and gift bags.

If you cancel your attendance before 30th September you will be refunded in full. Unless you have a serious reason any cancellation after 30th September will not be refunded. Sorry, NO eftpos or credit card payment available at the camp.

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