Registration Form
Kāpiti Open Evening
Thursday 25th June 2026
Fill in your details below to confirm your attendance
Name
*
First Name
Last Name
Optometry practice
*
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Dietary Requirements
e.g. Vegetarian/Vegan/Allergies etc
Any Questions?
SUBMIT
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