Commissaire Course Registration Form
Commissaire Registration Form 2023
Please complete the form to register for the commissaire course for 29th July, 2023. 

The course will be held at Coach House Museum, 127 South Street, Feilding 4702 - *The Hunter Room*

The cost of the course is $50.  Please pay by bank transfer to confirm your place.

Payments to:
Bike Manawatu ANZ Palmerston North
01 0745 0284925 00
Please reference your name and "comms course" in the payment details so we can identify your payment.


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Name  *
Please provide your full name
Contact Phone Number *
Please provide your mobile phone number
Email address *
Please provide your email address 
Date of Birth   
 *
Please provide your date of birth
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YYYY
Police Check  *
As part of the process to complete your registration as a commissaire Cycling New Zealand will need to undertake a police check for working with youth athletes.  Please check the box to indicate you are happy for Cycling New Zealand to undertake this process.
Required
Thank You.
Thank you for submitting your registration. 

We appreciate your time and commitment to cycling.
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