2020 Conference Registration form - Adventure Therapy Aotearoa
Please use this form to register for the ATA Conference 2020 then deposit your money ASAP to secure your place. Cost is:

Student/non waged:   $220
Early Bird (before 15th April 2020)    $290
Late (after 15th April 2020)   $340
One day only (early bird)  $165
One day only (after early bird) $205
One workshop only   $50

Bank Account number 38-9020-0523950-00  Please use your name as a reference.  

 Any questions?  email: adventuretherapyaotearoa@gmail.com 


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Email *
First Name *
Surname *
Organisation
Position
Please identify your ethnicity *
Required
Region *
Contact Mobile phone number *
2nd Contact phone number
Reasons for attending *
Required
Please specify any dietary requirements *
Required
Background/industry (select those which apply) *
Required
Do you require a receipt or invoice? *
Required
Do you require a shuttle from Dunedin airport to the camp on Friday? *
Do you require a shuttle to the airport on the Sunday? *
Required
Are you happy to share your contact email with other conference delegates? *
Will you be there at 6pm for dinner on Friday night? *
Please select payment option
Finally, would you like to join ATA? Discounted if you join at the same time as conference registration! Fill in the membership form, and pay the discounted rate of $40 ($20 if you are a student or unwaged)
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