World Trotting Conference Registration Form
Personal Details
Name
First Name
Last Name
Preferred Name
Country Representing
Postion
Email
example@example.com
Mobile
Please enter a valid phone number.
Format: (000) 000-0000.
Category
Participant Category
Delegate
Official Observer
Accompanying Person
Approved Visitor
Other
Travel
Flight details will be required at a later date
Arrival Date
Departure Date
Accommodation - Please book direct with the Crowne Plaza
Crowne Plaza
Other
Not yet booked
Emergency Contact
Name
Relationship to you
Email
Mobile
Dietary and Accessibility
Do you have any dietary requirements? If yes, please explain below
Do you have any accessibility requirements? If yes, please explain below
Event Attendance
The event booklet is available on the WTC website with all event details
Welcome Cocktail - Sunday 1st November at Crowne Plaza (PM)
Yes
No
Kaikoura Races - Monday 2nd November
Yes
No
Conference Day One - Tuesday 3rd November at Crowne Plaza
Yes
No
Conference Day Two - Wednesday 4th November at Crowne Plaza
Yes
No
Conference Day Three - Thursday 5th November at Crowne Plaza
Yes
No
Conference Day Four - Friday 6th November at Crowne Plaza
Yes
No
Addington Raceway for dinner and race night - Friday 6th November (PM)
Yes
No
Eyes on Christchurch Farewell Dinner at the Christchurch Gondola - Saturday 7th November (PM)
Yes
No
Day out at Ashburton Races as HRNZ guest - Sunday 8th November (voluntary event)
Yes
No
New Zealand Cup Day as HRNZ guest at Addington Raceway - Tuesday 10th November (voluntary event)
Yes
No
Accompanying Persons
The accompanying persons programme will be confirmed at a later date. The programme will be organised based on numbers.
If you are an accompanying person - will you be interested in attending the programme?
Final Details
Do you have any questions or comments?
I confirm that all the details I have supplied are correct
Yes
Signature
Continue
Continue
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