REGISTRATION FORM
The Waihi Old Boys Association invites you to the 1990's Reunion. 

Please return registrations by June 18th 2023.

Please complete the registration form and if you have any questions please do not hesitate to contact Mr Nigel Kerr 027 240 7775 waihioldboys@gmail.com.
Sign in to Google to save your progress. Learn more
Email *
Attendee Details
Name:
Postal Address:
Phone:
Email:
Date of Birth: 
DD/MM/YYYY
Accompanying Person's Name:
Special requirements: eg. dietary, disabilities etc
I/We would like to attend Friday night Cocktail Party 
$20 per person
*
I/We would like to attend Saturday at Waihi 
$20 per person
*
I/We would like to attend Saturday Dinner
$60 per person
*
List of Participants -The Privacy Act 1993 provides that, before your name and address details can be published in the list of attendees for distribution at the reunion you must give your consent. 

Method of payment - Online banking

Please deposit the event fees + a $20 Registration Fee per Old Boy into Waihi Association 02-0800-0620240-00 with your name as a reference.

Overseas payments- Waihi School: Swift ANZBNZ22. Branch: Christchurch - 0800. A/C 0620240-00

Cancellation Policy - Refunds will be made (less a $20 administration fee) up until 24th June, after which it will be at the discretion of the organisers. 

*
Required
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 Waihi School. Report Abuse