Intermediate Bushcraft 18th February (prep day), 23rd-25th February (weekend training)
To register for the Intermediate Bushcraft Training Weekend run by Wellington Outdoor Training NZ.
Course venue: TBC
Compulsory prep day 18th February at the Hutt Valley Tramping Club, Lower Hutt. Weekend field training 23-25th February, location TBC (will depend on the weather). Deadline for registering 10th February.
What is your name? *
First name Last name
Your answer
What is your email address? *
Your answer
Phone number 1 *
The phone we are most likely to reach you on.
Your answer
Phone number 2
An alternative phone number.
Your answer
Date of birth *
Your answer
Address *
Residential address here (followed by postal if different).
Your answer
Medical conditions or special requirements *
Asthma, diabetes, epilepsy, allergies? Sore ankles, knees back etc? List all medication. NA if none.
Your answer
Emergency contact 1 *
Name phone number and relationship of emergency contact (next of kin).
Your answer
Emergency contact 2 *
Name phone number and relationship of another emergency contact.
Your answer
School or group. *
Shool or group you are associated with and if you are doing your Duke of Edinburgh Hillary Challenge, if you are not involved with any group then NA.
Your answer
Payment $80 - please pay 38-90160773412-02 by 10th February 2018.
State last name and "Inter" or "Adv" as reference.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms