WDH 2025 Trek Registration Form

WDH 2025 Trek Registration Form

Waimate District Hunt Trek 2025 Mt Parker Station. Register by 20 January 2025.
Name*

First NameLast Name
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Additional Riders Details:
Please include ages of any riders aged 16 or under
Any Medical Requirements we should be aware of:
Please provide relevant information regarding allergies, medications etc. If carrying medication (e.g. Inhalers, EpiPen) please note where this will be carried (e.g. on person, in saddlebag).
Emergency Contact:*
Name, ph number and relationship to you.
Any special dietary requirements:
I intend to arrive@*

Friday evening after 5pmSat morningSat eveningSunday morning
I have read and I accept the terms and conditions listed by Waimate District Hunt in information & terms documents alongside this 2025 Trek Entry Form*

Yes
Book Trek Options*
prevnext( X )
Full Catered 2 day trek (adult)Sat 25th & Sunday 26th (plus 2 x brekkie 2 x lunch 1 x dinner)
$190.00NZD Quantity



Full catered 2 day trek (16 and under)Sat 25th & Sunday 26th (plus 2 x brekkie 2 x lunch 1 x dinner)
$125.00NZD Quantity



Saturday Trek plus lunch (adult)breakfast & dinner optional add on xtras
$115.00NZD Quantity



Saturday Trek plus lunch (16 and under)
$85.00NZD Quantity



Sunday Trek plus lunch (adult)
$75.00NZD Quantity



Sunday Trek plus lunch (16 and under)
$55.00NZD Quantity



Additional Dinner (Sat)
$45.00NZD Quantity



Additional Breakfast (Sat Morn)continental and full cooked
$20.00NZD Quantity



Additional Breakfast (Sun Morn)continental and full cooked
$20.00NZD Quantity



Total

$0.00NZD
INTERNET BANKING Waimate District Hunt ANZ 01 0893 0012462 00.

Please use TREK2025 as code and YOUR NAME as reference and make payment by 22 January 2025
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