Registration for the Focus Course Sexuality - Wellington, September 2019
Welcome to the on-line registration form for our upcoming Focus Course in Wellington. This course will be held 14-15 September 2019 at Te Wharewaka o Pōneke, 2 Taranaki Street, Wellington. This form will guide you through the sections for your personal details and tuition fee. Please note that payment is possible by on-line bank deposit, cheque or cash; credit card payments are not supported.
Primary phone number
Course related details
Select the applicable tuition fee.
The discounted fee is available to retakes, full time students, senior citizens (65y and over), 2nd and following household members when registering together (e.g. couples).
provide details when selecting the Discounted fee
2nd household member
Full time student
Please indicate if you require accommodation for the weekend, we will be in contact with the available options
Please select the payment option: Payment of the non-refundable deposit of NZD100.- due at the time of your registration secures your place; to qualify for the early registration fee your tuition fee must be paid in full by no later than 1 August 2019.
Indicate how you will pay - direct debit is preferred. Make cheques payable to "KAIROS FOUNDATION", and mail to PO Box 13 682, Christchurch 8141, New Zealand. Pay directly into our bank account: KAIROS FOUNDATION, 03-0430-0268832-00 Reference: Participants name, Particulars: SEXWLG20190914.
Please let us know the date of your payment
How did you get to know about the course?
Who offered / recommended this course to you?
Is there anything else you want us to know
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