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NZ Summer Conference 2012

IMPORTANT: Thanks for your interest in the New Zealand Compass Summer Conference 2012. We can no longer guarantee places at the conference. However, please email admin@compass.org.nz if you are interested in registering. Many thanks, The Compass Team.

Email Address *

New Individual
First Name *
Last Name *

NZ Summer Conference
Date of birth *
(clear)
Landline phone *
Mobile phone *
Street Address *
Suburb
Postcode
City *
Home Town *

Where do you call home?
If you are a student, what is your course of study?
Current Occupation or Tertiary Provider *
Sex
Female Male(clear)
Marital status *
If you are married, will your spouse be attending?
Yes No(clear)
Church

What church do you attend (if any)?
Why do you want to attend the conference?
Have you been to a Compass event before? *
Summer conference Conversation evening Schools conference Other No, this is my first Compass event
How did you hear about this event?
Do you have any special dietary requirements?
Do you have any health issues, special needs or disabilities that we should know about?
Can you help with transport to the event? *
Yes No
If yes, how many people (and luggage) can you fit in your car?
Do you need transport to the event? *
Yes No
Will you need transport to and from the conference (we will do our best to arrange transport to and from Auckland for those who need it).
If you need transport, please provide details (e.g. airport/bus station, flight times)
Can you afford the full cost of the conference? *
Yes No
If you select 'no', we will try to find sponsorship for you, but be aware that this is very limited.
If you need financial assistance, please tell us some more about your situation:
How would you like to pay the deposit? *

A $200 deposit is required to reserve your place.
How would you like to pay the remainder of the conference fee? *

The remainder of the conference cost is due on or before the start of the conference. Email admin@compass.org.nz if you'd like to make alternative payment arrangements.
Consent *
I agree
I agree that all the details on this form are correct. I understand that photos and video will be taken by the Compass team during the event. These images may be used for a variety of purposes, including newsletters, brochures and the Compass website. I agree to give permission to the Compass Foundation to use photos and video of me for these purposes.