Peria School 150th Jubilee Registration
IMPORTANT: PAYMENT MUST BE MADE WHEN YOU REGISTER. WE WILL NEED THIS PAYMENT FOR CATERING, ORGANISATION ETC. You can find the account details at the bottom of this form. Your registration will not be confirmed until payment is received. Registrations close October 1st 2023. Please complete for any adult that will be attending the Celebration. Please note that an individual registration form must be completed if you are an ex pupil or student. This helps with our records. Thank you. EARLYBIRD PRICES HAVE NOW CLOSED - IF YOU PAID AFTER THE 15TH of SEPT YOU ARE REQUIRED TO PAY FULL PRICE.
Sign in to Google to save your progress. Learn more
Email *
Full Name *
Maiden Name / Former name *
Postal Address *
Phone number
Years of attendance (Please add From -To. For example 1993-1996) - if applicable
Please add the names of any adults that are attending with you that are not ex pupils or staff (adults are 13 years and over)
Please add the names of any children that are attending with you (12 years old and under)
Number of adults attending lunch (13 years and over) Please note lunch costs $40.00.  Note dietary requirements here  *
Number of students attending lunch (5 -12 yr olds). Please note lunch costs $20.00 per child, note if any dietary requirements here.   *
Will you and your whānau listed above be there for morning tea? If yes, how many in total. (Please note this is free of charge) *
Would you like to purchase a Jubilee class decade photo? Cost $15.00 (if yes, how many) *
Would you like to purchase a 150th Jubilee booklet? Cost $30.00 per booklet (If yes, how many?) *
Would you like your photo or book posted? The cost is $7.00 *
To confirm please tick what relates to you *
Required
Please note:
RSVP: NO later than 1st October 2023.

Payments can be made to our Peria School Parent Association ASB Account 123096-0178834-00
Reference details: Your name
Details: Jubilee

Please note that you will not be considered as 'attending' until payment is made in full. 

Jubilee Photos and decade photos will be posted out or collected from school after the Jubilee

We will have an example of the Jubilee Book on hand for you to view on the day

Any queries please contact: 
Claire Olsen
claireo@peria.school.nz
or Peria School (09) 408 5834

A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Peria School. Report Abuse