Machol Pacifica 2018 Registration Form
Please fill in the form below to register for camp. Venue: Whanganui Girls College .
Payment Options
Either Pay online or by Cheque
First Name *
Your answer
Last Name *
Your answer
Email Address *
Your answer
Postal Address
Your answer
Town / Dance Group *
Please choose your nearest dance group (to help us when it comes to handing out registration packs)
Home Phone
Your answer
Cell Phone
Your answer
Gender
Registration *
Full Registration includes morning/afternoon tea, lunches and suppers.
Meals
Saturday Night Dinner will be at the brickhouse. The menu is here: http://www.thebrickhouse.co.nz/ . Please indicate whether you will be joining us.
Do you have any special dietary needs?
Our lunch caterers are able to accommodate both gluten free and vegetarian options. Note: if you select 'other', you may be asked to provide your own food depending on your needs.
Media and Resources
T Shirt Order (Size)
T-shirts are $25.00 each, loose sizes are S, M, L etc. Fitted sizes are 8 - 18
T Shirt (Style)
Filling this in will help us to easily put the right shirt in the right bag.
T Shirt (Colour)
Please choose a colour. You can see the T-Shirts on our T-Shirt page (http://macholpacifica.org.nz/shirts.php)
Total Payment
Please state the total amount that is due
Your answer
Date Paid
MM
/
DD
/
YYYY
Do you need an emailed receipt?
Is there anything else we should know (Comments)
Your answer
Special Note
If you cancel your attendance before 31st August you will be refunded in full. Unless you have a serious reason any cancellation after 31st of August will not be refunded. Sorry, NO eftpos or credit card payment available at the camp. Please make your T-Shirt order BEFORE the 20th August to avoid disappointment.
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