Taranaki River Safety Training
To register for this course please complete online registration form.
Email address *
River Safety Training
Date 17 November 2019 - registrations close 10 November 2019.

Meet at Meeting of the Waters, New Plymouth, 11 am concluding 3 pm.

Further information will be provided on application.

E mail: otnz.taranaki@gmail.com
Your First and Last Name *
Your answer
Contact Phone Number *
Your answer
Organisation
Your answer
Swimming ability? *
We can plan around the needs of those not confident in the water if we know in advance.
Required
Do you have any medical or physical conditions that could affect your full participation in the course? *
Include: asthma, diabetes, epilepsy, allergies.
If yes please briefly provide details or advise course instructor on the day.
Your answer
Emergency Contact Name and Phone Number *
Your answer
Course fees: $30.00 Payable by Monday 11 November 2019 to OTNZ Taranaki: 15 3944 0298039 00 (TSB Bank).
Please put your name and course date as reference.
I understand that I will have to pay before my application is confirmed. *
I accept the withdrawal conditions of 100% refund or transfer to another course if 10+ days notice. 50% refund or full transfer to another course if 3-10 days notice. 0% refund or full transfer to another course if less that 36 hours notice. *
NOTE: If we have to cancel a course, OTNZ's maximum liability is to refund 100% of the course fee.
A copy of course details will be emailed to the address you provided.
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