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Leadership and Social Weekend for Adults living with PWS 2023
Friday 3rd November - Sunday 5th November
Name(s) of adult(s) living with PWS:
*
Name(s) of support person attending:
*
One support person per adult living with PWS unless supporting more than one person with PWS.
MEAL ORDERS : Meals are ordered in advance. Please let us know all those that you will require by ticking below. Leave blank if you will miss a meal, e.g. arriving late Friday (dinner at 6pm). If attending days only, please tell us if arriving for breakfast (usually 7.30-8.30) and staying for dinner.
Fri dinner
Sat breakfast
Sat lunch
Sat dinner
Sun breakfast
Details of any dietary requirements (other than PWS friendly) - i.e. gluten free, lactose intolerant, vegetarian - plus name of person each is for.
OTHER INFORMATION: anything else to tell us regarding your registration? E.g. room type requests, arrival or departure times etc.
CONTACT DETAILS: Name and mobile phone numbers for attendees (you must include at least one.)
Name and phone number:
*
Name and phone number:
Your name (person completing this form):
*
First name
Last name
Your email address:
*
Please list any other email addresses to receive communications about this weekend.
Email:
REGISTRATION DECLARATION:
I understand our registration is not confirmed until we have made a registration payment of $50 per person staying at the hotel or $30 per person attending days only. (Support Workers free)
*
Please pay into the following account using NAME and ADULTSWKND as references.
PWSA(NZ) account number: 12-3659-0043686-00
Please check the highlighted fields
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