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NZ Sign Language - Registration Form
You are registering for the New Zealand Sign Language course for home educated 'school aged' children which runs on Fridays at the North Shore YMCA (5 Akoranga Drive, Northcote).

Payment details will be emailed once we confirm your placement. Prompt payment is expected please, thank you.

You may submit a second (or third) registration form if you have more than three children to register.

Any questions please contact Sharon Dove at srdove@gmail.com or via hasca.nz@gmail.com.

Email address *
Name of Parent / Guardian *
Your answer
Contact Phone No. *
Your answer
Child (1) Full Name *
Your answer
Child (1) Age / D.O.B. *
Your answer
Child (2) Full Name
Your answer
Child (2) Age / D.O.B.
Your answer
Child (3) Full Name
Your answer
Child (3) Age / D.O.B.
Your answer
Any comments or information you would like us to know.
Your answer
Acknowledgement *
Required
A copy of your responses will be emailed to the address you provided.
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