Coast Food Crawl Registration

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We will be in vans following clues to take you to the next food destination!

Any questions email - hannah@wbc.org.nz

Youth Full Name: *

School Year *

Year 9

Year 10

Year 11

Year 12

Year 13

Required

Dietary Requirements

Vegetarian

Gluten-free

Dairy Free

Other:

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Any medical info we need to know?

Emergency Contact Details

Full Name: *

Relationship to youth *

Mobile Number: *

Driving Permissions *

I give permission for my child to be transported by Local Youth Leadership

Required

I give permission for my child's photo to be taken & used in social media posts *

Yes

Required

Submit

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