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Please enter your details to register for Rolleston Hope Youth
Persons name
*
First name
Last name
Email address (parent)
Email address (youth)
Cell phone
Address
Address line 1
Address line 2
Address line 3
Address line 4
Town/Suburb
City
Postcode/Zip
Date of Birth
*
Gender
Male
Female
Emergency Contact Person & Phone No.
Allergies/Medical Conditions
School Year
*
1
2
3
4
5
6
7
8
9
10
11
12
13
School
Aidenfield Christian School
Avonhead School
Branston Intermediate School
Breens Intermediate School
Broadfield School
Burnside High School
C.P.I.T
Canterbury University
Christchurch Boys' High School
Christchurch Girls High
Clearview School
Cobham Intermediate School
Darfield High School
Ellesmere College
Gilberthorpe
Hagley Community College
Hagley High School
Halswell School
Hillmorton High School
Hillview Christian School
Home schooled
Hornby High School
Ilam Primary
Kirkwood Intermediate
Lemonwood Grove
Lincoln High School
Middleton Grange School
Oaklands
Otago University
Prebbleton School
Rangi Ruru Girls' School
Riccarton High School
Rolleston Christian School
Rolleston College
Rolleston School
South Hornby School
Springston School
St Andrews College
St Teresa's School
St. Bedes School
St. Margarets College
St. Michael's
Te Rōhutu Whio
Templeton School
Unlimited School
Waitaha School
Weedons
West Melton School
West Rolleston School
Wigram Primary
Yaldhurst Model School
Is there anything else you would like us to know about you?
Choose which group you are registering for.
2A - Rolly Youth Yrs 9 to 13 - Church
Sunday Youth Church Yr 7 to 9
Consents
Photo & Privacy Consent
I understand that by filling out this from my information may be kept on file by Hope Presbyterian (and it's associated groups) to use for administrative purposes. I understand that photos from this event that may include pictures of me/others may be used by Hope Presbyterian (and it's associated groups) for promotional purposes.
Yes
No
We will be going off-site during the year to do other activities. You will be informed of this prior to the event and provided with relevant information. In order for your young person to participate, we need permission to allow them to be off-site.
We will be going off-site during the year to do other activities. You will be informed of this prior to the event and provided with relevant information. In order for your young person to participate, we need permission to allow them to be off-site.
Yes, my child/ren can be taken off-site.
No, I do not want them off-site.
Your information and contact details will be held by Hope Youth for administrative purposes only. We will not share your details with a third party.
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