Machol Pacifica 2019 Registration Form
Please fill in the form below and pay the registration fee to register for camp.
Information
6:00 pm Friday 25 - late Sunday 27 October (that's Labour Weekend)
Wellington Girls' College, Pipitea St, Thorndon

We are conscious of trying to look after our environment, so in order to reduce our use of plastics, we ask you to bring your own drink bottle.

We are sure you all, like us, have numerous t-shirts in your drawers, so we have decided not to produce t-shirts this year.

Registration Details...
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.
Payment Details
Account Details: 03 0521 0138881 00
Total Payment
Please state the total amount that is due
Your answer
Date Paid
MM
/
DD
/
YYYY
Do you need an emailed receipt?
Media, Meals & Special Requests...
Media and Resources
Meals
Saturday Night Dinner will be a shared banquet at Indus. $30 per head; pay on the night. 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.
Is there anything else we should know (Comments)
Your answer
Special Note
Registrations close 30th September 2019. Any registrations after this date will miss out on catering and gift bags.

If you cancel your attendance before 30th September you will be refunded in full. Unless you have a serious reason any cancellation after 30th September will not be refunded. Sorry, NO eftpos or credit card payment available at the camp.

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