Camp Registration Form - Taupo 2020 | Prader-Willi Syndrome Association NZ Incorporated

PWSA Camp Registration Form - Taupo 2020

Friday 28th February - Sunday 1st March

ATTENDEE NAMES

Names of any adults with PWS attending camp:

Names of parents / other adult family members attending camp:

Names of children under 18 attending camp - please include their AGE on 28th Feb 2020:

Names of carers/support workers attending with adults with PWS if family members not attending. (Please also include the name of the service provider organisation, if applicable.)

CONTACT DETAILS

Mobile phone contact number for one or more of those attending: *

Your name (person completing this form): *

First name

Last name

Your email address: *

Carer/SW email address (ONLY if an adult with PWS is attending with a carer/SW listed above.):

Emergency contact details for someone NOT attending camp (only to be used if we cannot get in touch with you): *

DIETARY REQUIREMENTS

Do you have special dietary requirements (other than PWS friendly)?

If ticked, please provide details - i.e. gluten free, lactose intolerant, vegetarian etc. Please list each person and their dietary needs separately.

TRANSPORT ARRANGEMENTS

IF driving to camp, what is your approximate ETA?

Do you require transport from Taupo (providing your flight arrival is at the suggested time)?

If ticked, would your preference be for a 2pm airport collection or to be collected later from Taupo between 3.30 and 4.30pm?

REGISTRATION CONFIRMATION AND DECLARATION

Please pay $40/adult and $25/child (under 5's free) into the account below using your SURNAME and CAMP20 to complete your registration.

PWSA(NZ) account number: 12-3659-0043686-00

(If you have previously saved our bank details, please note our change of account.)

I have made a registration confirmation payment. *

I understand that the parents or carers attending listed above will have full duty of care for any under 18's or adults with PWS in this group registration. *

ADDITIONAL INFORMATION

Please use this space for any other important details you wish to add, i.e. requests re. cabin groups etc. (OPTIONAL)