Nature Play Conference 2021 - REGISTRATION (INVOICE)

IMPORTANT: If you want to pay now through paypal - follow this link to pay through PayPal. Thank you!

***If filling this form in on behalf of other people you will need to know thier full name, email address, dietary requirements and their workshop selections.***

Organisation/ Centre/ School Name *

Name on the invoice *

First Name Last Name

Email address for invoice

example@example.com

Phone Number *

Area Code Phone Number

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Select the option you wish to be invoiced for: *

EARLYBIRD FRIDAY ONLY Registration $195 NZD EARLYBIRD FRIDAY & SATURDAY Registration $265 NZD

GROUP DISCOUNT of 7% for 4 or more people booked together NB: Early Bird rates apply till 31st December 2020

Any comments or DISCOUNT CODE:

Name of Conference attendee *

First Name Last Name

Email of Conference attendee *

Confirmation Email example@example.com

If you have any dietary requirements please select or enter information here: *

Vegetarian Gluten Free Dairy Free

Workshops - 26 March 2021

WORKSHOP 1 (Select 1) *

Option 1. Julie Wylie Option 2. Harko Brown Option 3. Jo Luff

WORKSHOP 2 (Select 1) *

Option 4. Leo Smith Option 5. Ann Langis Option 6. David Spraggs

Optional Saturday Workshops - 27th March 2021

SATURDAY WORKSHOP (select 1)

Option 7. Celia Hogan Option 8. Emma Woods Option 9. Dani Lebo

NB If there are no other people in your group, please scroll to the bottom of the page and click SUBMIT.

Other Group Member Details (if booking for more than one person)

Name 2 Conference attendee:

First Name Last Name

Email 2 Conference attendee:

example@example.com

If you have any dietary requirements please select or enter information here:

Vegetarian Gluten Free Dairy Free

Enter the Workshop 'OPTION NUMBERS' that this person will attend e.g. 1, 5, 7 (see numbers beside each workshop in above section)

NB Remember to enter options for both Friday workshops and the Saturday Workshop if attending.

Name 3 Conference attendee:

First Name Last Name

Email 3 Conference attendee:

example@example.com

If you have any dietary requirements please select or enter information here:

Vegetarian Gluten Free Dairy Free

Enter the Workshop OPTION NUMBERS that this person will attend (see numbers in above section)

NB Remember to enter options for both Friday workshops and the Saturday Workshop if attending.

Name 4 Conference attendee:

First Name Last Name

Email 4 Conference attendee:

example@example.com

If you have any dietary requirements please select or enter information here:

Vegetarian Gluten Free Dairy Free

Enter the Workshop OPTION NUMBERS that this person will attend (see numbers in above section)

NB Remember to enter options for both Friday workshops and the Saturday Workshop if attending.

Name 5 Conference attendee:

First Name Last Name

Email 5 Conference attendee:

example@example.com

If you have any dietary requirements please select or enter information here:

Vegetarian Gluten Free Dairy Free

Enter the Workshop OPTION NUMBERS for this person will attend (see numbers in above section)

NB Remember to enter options for both Friday workshops and the Saturday Workshop if attending.

Name 6 Conference attendee:

First Name Last Name

Email 6 Conference attendee:

example@example.com

If you have any dietary requirements please select or enter information here:

Vegetarian Gluten Free Dairy Free

Enter the Workshop OPTION NUMBERS that this person will attend (see numbers in above section)

NB Remember to enter options for both Friday workshops and the Saturday Workshop if attending.