Student Registration 2009

Major Supporters:
Trustees:

You can register here online OR by sending in the completed form from the NZBW Brochure. If registering on-line please remember to forward us your deposit of $150 plus a photo of yourself as registrations are tentative until these are received.
First Name *
Surname *
Sex *	female male
Date of Birth (dd/mm/yyyy) *
Name to Appear on Tag (if different to above)
Home Address *
Home Phone (incl Area Code) *
Mobile
Email *
Parent/Guardian *
Parent/Guardian Mobile
School *
Year *	Yr 12 (6th form) Yr 13 (7th form)
Own Transport *	I am responsible for my own transportation to and from Palmerston North and arriving at the venue (College House PNBHS) Sunday 5th July between 11am and 1pm and departing Friday 10th July by 10.30am.
Code of Conduct View the Code of Conduct here. *	I agree to the Code of Conduct required by NZBW
Section 2 - Sponsorship
Select one of the following options *	I would like to pay $500.00 I would like to pay $150.00 and will be supported with $350.00 from the following sponsor (please complete all details)
Sponsor Name
Sponsor Company
Sponsor Address
Sponsor Phone
Sponsor Email
I require NZBW to invoice my sponsor for $350 (if 'no' please forward sponsors cheque with your deposit)	yes no
Section 3 - Tell us about yourself
Please tell us about yourself, your goals and aspirations and what you wish to gain by attending NZBW *
* denotes required field