Henderson-Massey Moth Plant Competition 2024

Henderson-Massey Moth Plant Team Registration Form

For Category 1: Collecting moth plant pods and Category 2: Slaying moth plant vines
- Teams must register before they start collecting pods and vines for the purposes of this competition.
- Teams must be registered by Tuesday 30 April 2024.
- At least one member from your team must have a school, home or workplace address within the Henderson-Massey area.
- There must be a minimum of two, and a maximum of 10 people per team.
- Teams with children must include at least one supervising adult over the age of 18.
- All teams must provide the name and contact details for one of their members who will be the team leader. All competition communications will be sent to the team leader, who is responsible for ensuring the team is aware of the communications.
Team name*
Team leader*

First NameLast Name
Team leader's year of birth*
Year of birth information will help us understand the demographics of participants, and enable us to improve marketing and prizes for future competitions.
Team leader's email address*
example@example.com
Team leader's mobile number*

Area CodePhone Number
Does your team leader live, go to school or work in Henderson-Massey?*

YesNo
If yes, please state Henderson-Massey address, school or workplace.
Other team members' details (minimum 1, maximum 9)*
Please include each team member's Full Name, Year of Birth, Whether or not they live, go to school or work in Henderson-Massey (Yes/No), If yes, their Henderson-Massey address, school or workplace.
Other team members (minimum 1, maximum 9)
By submitting this form, you affirm that you all the information is true and correct to the best of your knowledge; that you agree to the Terms and Conditions for entering the compeition; and that you have read the Health and Safety Guidelines for the competition.
Please verify that you are human*
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Henderson-Massey Moth Plant Team Registration Form