Hillary Outdoors Medical and Consent Form
Hillary Outdoors Education Centre - Tongariro
Which course would you like to book on?
5-day Holiday Action Challenge: Saturday 13 April - Thursday 18 April 2019 (14-18 years old)
5-day Holiday Action Challenge: Sunday 6 October - Friday 11 October 2019 (14-18 years old)
5-day Holiday Action Challenge: Sunday 15 December - Friday 20 December 2019 (14-18 years old)
First and Last Names
Age 14-18 years,
Date of Birth
Please tick the box if you do NOT want to receive information about other courses at Hillary Outdoors. At no time will we ever sell or provide your information to anyone else.
I do not want to receive information about other courses
Are you completing the Gold Duke of Edinburgh Residential Award?
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