KAWEA TE RONGOPAI PILGRIMAGE 2018: REGISTRATION

THE TAIRAWHITI PILGRIMAGE FOR THE DIOCESE OF NELSON

16-23 April, TE TAIRAWHITI

Please complete the registration form below:

This registration form is for participants who have already been selected by the Diocese of Nelson. If you are unsure if that is you, please contact Andrew Burgess at dean@bishopdale.org.nz

Email sharlene@tairawhiti.org.nz with any other general queries.

Name *
Name
Gender *
Please select one option:
Street
Suburb
City/Town
Postcode
Emergency Contact *
Emergency Contact
Relationship to you:
Emergency Contact Phone Number
Please list any medical issues we need to be aware of or particular dietary needs for catering purposes: