DPS Field Trip Register
Enter your details to register your intention to participate in the upcoming field trip.
Select Trip
Please Select
Orokonui 20th Sept
Balclutha 26th Sept
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Cellphone Number
*
Please enter a valid phone number.
Format: (000) 000000[0][0].
Transport
I'll bring my car
I can take passengers
I'd like to carpool with someone else
Not Applicable
Payment
I have paid the trip fee
Not Applicable (no fee for this trip)
Emergency Contact Name
First Name
Last Name
Emergency Contact Phone Number
Please enter a valid phone number.
Format: (000) 000000[0][0].
Submit
Should be Empty: