2017 It Takes A Village Conference
Welcome to the National Multiples NZ Conference for 2017 - It Takes A Village
It Takes A Village is being hosted by the Multiples Auckland Central in partnership with Multiples New Zealand.
It is being held at St Cuthbert's College, Auckland
Friday 6th to Sunday 8th of October 2017
Email address
Instructions
It is important to read all the information in this form before you start your registration.

You can see the full conference programme on here: https://goo.gl/MxvsdN

Registration types, fees and inclusions as well as accommodation information can be found at our conference page: http://bit.ly/1FxSyR8

Online registration can be paid by online banking, credit card (Visa, Mastercard and American Express) via Paypal (Processing Fee applies), or cheque.

If you need assistance completing the form or have any questions regarding registration please contact conference@multiples.org.nz via email on Subject: Registration.

Connect to the Multiples NZ Conference fan page here: https://www.facebook.com/MultiplesNZConference/

Directions to St Cuthberts College : https://goo.gl/maps/8KMqh7YeuWA2

Please note that your conference registration (including accommodation booking) CANNOT BE CONFIRMED UNTIL YOUR PAYMENT IS RECEIVED.

PERSONAL DETAILS:
Please create a separate registration form for each person attending the conference.
First Name:
First Name, this will be printed on your conference name badge.
Your answer
Last Name:
Last Name, this will be printed on your conference name badge.
Your answer
Are you happy to share your email address with other delegates?
Mobile Phone:
Contact mobile phone number. Do not use spaces.
Your answer
Home Phone:
Home Phone Number, use only if you do not have a mobile phone. Do not use spaces.
Your answer
Region:
Your answer
Emergency contact details:
Name
Your answer
Emergency contact number:
Number
Your answer
Emergency contact relationship:
Relationship to you
Your answer
MULTIPLE BIRTH INFORMATION:
Are you a parent of Multiples?
Are you a member of a Multiples Club or Multiples NZ?
If Yes, please state which one:
Your answer
Will you be attending the Multiples NZ AGM on Friday?
Are you a Multiples Club Committee Member?
If Yes, please state your role:
Your answer
How many Multiple NZ/ NZMBA Conferences have you attended?
Your answer
Multiple Children:
If you have multiples please state , age, gender, and if they are identical or fraternal. Information about your children will be collected for surveying purposes only. Not available for public distribution.
Your answer
Other children:
Please state age and gender only
Your answer
TRAVEL DETAILS:
Please complete if you have these details at the time of registration. If you do not currently have them, you will be contacted closer to the time by a committee member.
I'll be arriving by:
Required
Arrival Details:
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Time
:
Flight Number:
Your answer
Departure Details:
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Time
:
Flight Number:
Your answer
Room Allocation:
Please indicate below who you wish to share your room with. (We will do our best to meet your needs but cannot guarantee this)
Your answer
REGISTRATION DETAILS:
There are a range of registration options depending upon your needs.

FULL weekend registration including accommodation EARLY BIRD
$290 (payment before 31 July)
FULL weekend registration including accommodation
$300 (after 31 July)
FULL weekend registration excluding accommodation EARLY BIRD
$240 (payment before 31 July)
FULL weekend registration excluding accommodation
$250 (after 31 July)

This is for full conference attendance all meals and airport transfers. Also includes attendance to all Conference social events (Friday and Saturday evening events). There is a choice of accommodation options from dorm to twin share to own room. We will accommodate your request where we can.

FRIDAY Mammas Wellness Evening only
$40 includes mini makeup or mini skincare or mini massage

SATURDAY Conference attendance
Full Day $150 includes meals and refreshments during the day between 8.45am-5.30pm
Half Day $75 includes morning tea OR afternoon tea only

SATURDAY Gala Dinner and PORSE Multiples NZ Volunteer Awards
$90 includes one free drink on entry and transport to and from St Cuthbert’s to the venue

SUNDAY Conference attendance
Full Day $100 includes meals and refreshments during the day between 9.30am-3.00pm
Half Day $75 includes morning tea only

Please select choice for FULL Weekend Delegation:
This is for full conference attendance all meals and airport transfers. Also includes attendance to all Conference social events (Friday and Saturday evening events). There is a choice of accommodation options from dorm to twin share to own room. We will accommodate your request where we can. Once registration and payment have been received you will be contacted via email regarding accomodation preferences.
FRIDAY Mammas Wellness Evening:
SATURDAY Conference Attendance:
SATURDAY Gala Dinner and PORSE Multiples NZ Volunteer Awards:
SUNDAY Conference Attendance:
WORKSHOP REGISTRATION:
Saturday 7th October, Session 1: 10.00am-10.50am (under 5's)
Choose one from the following:
Saturday 7th October, Session 2 11.05am-11.50am (under 5's)
Choose one from the following:
Saturday 7th October, Session 3 11.55am-12.50pm (under 5's)
Choose one from the following:
Saturday 7th October, Session 4 2.25pm-3.25pm (over 5's)
Choose one from the following:
Saturday 7th October, Session 5 3.40pm-4.40pm (over 5's)
Choose one from the following:
Sunday 8th October, Session 1 9.30am - 10:25am (Early Years)
Choose one from the following:
Sunday 8th October, Session 2 10.30am - 11:10am (Early Years)
Choose one from the following:
Sunday 8th October, Session 3 11.35am -12.30pm (Early Years)
Choose one from the following:
Sunday 8th October, Session 4 12.35pm -1.30pm (Early Years)
Choose one from the following: NB: 1pm-2pm - Agencies of Support and Health Services will gather in the Atrium for a casual one on one or small group session, regarding any questions you may have about the services available to you after your babies are born.
Dietary requirements or health matters:
Please list any dietary requirements or health issues we should be aware of.
Your answer
PAYMENT TERMS AND CONDITIONS:
There are three ways to make payments:
1. Internet banking (Preferred) 2. Credit card Paypal 3. Cheque

Payment deadline: ALL PAYMENTS NEED TO BE MADE IN FULL NO LATER THAN 20 SEPTEMBER 2017
INTERNET BANKING:
Account Name: Multiples Auckland Central
Account: ASB 12-3027-0337379-00
Reference: Conf 17
Particulars: Registrant Name
If you're making more than one payment per person please use your Surname in the particulars.

CREDIT CARDS:
Pay online with PayPal: http://goo.gl/aMWHQ7
An extra fee will apply

CHEQUES:
Send to:
MULTIPLES NZ CONFERENCE 2017 REGISTRATION,
C/o Multiples Auckland Central
PO Box 26-521. Epsom. Auckland, 1344
Please write the registrant names on the reverse side of the cheque.

Pre-registration essential, cash payment accepted for day delegates only by prior arrangement, email conference@multiples.org.nz

Please note that your conference registration (including accommodation booking) CANNOT BE CONFIRMED UNTIL YOUR PAYMENT IS RECEIVED.

Please note that a refund will only be given if places can be refilled. Booking cancellations need to be arranged by 1st September 2017 . Cancellations after this date are not eligible for a refund.

Payment Method:
Payment Date:
MM
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Multiple persons payment details:
if paying via internet banking state your surname in the payment particulars, and the names of the delegates in the space below.
Your answer
Before you push submit:
PRINT OFF: your completed registration form for your records BEFORE pushing submit

You can EDIT the responses to your form AFTER SUBMITTING IT by emailing conference@multiples.org.nz

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